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THE Cin OF WASHINGTON. D. C, U. ^ijt 



bEPTEMBEB 5 6, 7, AND 8, A. D. 1803. 



IN TWO PARTS. 
PART II. 



WA8HINGTOM: 

OOTEBNMENT PRINTING OFFICE. 
1895. 




PAB3:"SE003S^-V 



tsio 



SECTION IX.-ANATOMY. 



ffoiMiwry rrmUtmU. 



Hr. Harmisiin Ai.lck, PbilaitdpUU, Ph. 
Ur. I''RA^K llAsni. VViuhtnKton. I>. C. 
Dr. JwH. I>. fluvAier, N«w Yorh, N. Y, 
Dr. Ckijui lUUKKitAN, Lima, )Vrq. 
Pr. F. ti. C'oNXKR, CJDiiuiiati. Obio. 
Dr. UluCEl. CiiKiitKO Y GfHir..t. City vt 

Uvi,iv\t, tioiieii. 
Dr. CoiivuuN L. i'fuut, Ann Arlwr, Uicli. 



Dr. Kkhkiuk lluHmMAX, I'uerCu I'nu- 

olpo, Cuba. 
t>f. Ui-KTcn MoOriKi, Bichmond, Vii. 
t>r. I.. Atai'SToOiinBOO, Huutiiicu.Cbilo, 
Dr. JotiK IC. OwKVH, ('fairaeo. III. 
Ur. 1,. S. Pitx-URU, HTookljn, X. Y. 
l>r. !''. I'. Wkiwk, Now Vork, S, V. 
I>r. ItBKT. U. Wiij>Kk, lUiiMiA. K. Y. 



r*r. JviiK It. R08RRTS, lan WtUiiiit atrMi, l^iilMl«l|>Uia. i**. 

^MVWlArJoi. 



Dr. D. 8. I.AMn (Euiilinhnpnnkiiii:). ^Vi 

Tooth Dtrotit, SW.. \ViwliJa|[tJ>ii. Ii, C. 
Dr. Jrirm(VlctDriB, 1778), Hiwiot Aitw. 

AtfEeDtin* KepHliIlfl. 
lir. llAMM-rJl. Makiapa, Lnran, BuIiTiH. 
Di. Khxrvto Ctii4Bit'MA. Kio dn Jatiniro. 

Uiiilwl SIaIm »f Xni/il. 
Dr. K. .1. Siiri-irKKU, Munticul, ChiuiIu. 
Dr. FKi>KtiiiM> KoiimuA.v (rmlu, IC9), 

lUvnnn, TuU*. 
Dr. JUAX 1>. IIkhhkka (CniTontll, Nii. 

273), JlOf irtu, K<Tpulill<' at ColuinbU. 
Dr. Jt-AX J. O111KUA, QniitoiDula City, 

Gftuhinkla. 



III. A. M. I'KttSAXiiKy. litpanUb-ftpoiik- 

Iiik), !iOtf\V««tT«iiith »trix't, New York, 

N. Y. 
Dr. F. U MiNEit. Iliinolulu. HaitbII. 
t>r. FeitKAKiio VaU^L'K/, TxgilMitalpn, 

llou'lurmt, 
Dr. MiUl'Ki. Kl^<tl■tA iHutin.i >lo SnntA 

Catorina). Cilj- uf MnJco, Mctiu». 
1>r. v.. 8'>i.»iiJiAX». yikM^-n, \kntii|{uii. 
Ur. Jos^ U. CAiurl (ruulUd ilo Mi-di' 

ctait). MooUvMca, rniKuny. 
I>r. DoMiKiio HKiiKANtim ItKiiii, MitHda, 

V*Mi«r,iiola. 



^ 



AD1>RK88 BY TIIK l>Kt'.SIUF.?rr. JOHN. it. KDIlER-ns A. M.. M. D. 
egnf! iiKt-xt-Td IN aXatomk'al txacbinii im thr ur.iiirAL mriiooiJ' »r thk rxiTitnf 

iCtATKS. 

U hi* liniu trnir ■ui'l Hi^t niiAtiiiiij- aim! ]>liy>ioIns>- an Hie ruan<la(l«ii upixt wlilcli 
llltt whi>lfi AltiHiMrr of 11iMllr.1l I'll nruU oil ■• liiijll, uii'l tksl riiii«i>i|tient1y Ib«««] 
iKlwirM iiiiial !•« lauicht wiik vxliugxUvi- ll<an>iii:liu»H Hiid iiiaiIp IIio p*<T*iuiieu» 1 
IdMImIuhI pTV]>«ty of tka atiiilHai. 

Tba beat nwilionl Hvbiiot* ill 1lii« miiiilry, wtlli llivir Tnur yvafu' gndrd mitii«*>l 
r«|llUite Tor (lie mriliciil ilvKtw. Iimm- ik'W hILijiif)! nil i>t<-i> lien rr pioliAlilf not liifr- 
riur 111 nny uliiiiliir eil urn It omit ■■■•iloili'in* in llii> untlil. TIhtv Htilloilol liorf. iKnr- 
ittn, tiiini'Tioii* iimImw uiiJ Inn i[r»dit iii"licjl nrhiwU. iWliiii-il to Iwbihhi (t*slt'i)Giti| 
bj tbp luplilly IncrMMliijt uuistirr of MUilr iiuhIkaI rXHtiiiBiiig buiinlii. In loiiie aft 
Ihv fMrincr tluM of mIiooI*, anil la nnwlj all at otiiw gnAt*. Mnntouiical tPA<:|iiiix| 



PAN-AMKKU'AM MKDICAL CONaKKSK. 



1147 



tea >M>t r*>t*li«il Ibr ■UmIbiiI wliirli tlio eMimlial cluinictor nf tlic ni1ij««l il(-iiUBilti. 
A ' ' Km of the I'liiiHi-ii »r ilili ilrfoi^iMii iiiMiiictliin aiii) a M«r''li r»r ■■ninlniit 

It II III n|>jii\i|>rtulP. Il U IK) li<>|>olb»l x"" u'liuBti' ]iri-Hriil hIIIiIIhiiiu |Im> 

aUMiiiH-Dla of lliU luMriwi fireU anil filtly. Ki Ikil mrli iif utui:iy lli<rrli> titui ntljc- 
fjHiUiiia ur vatni' In ■■Invnliiif- iiinl liaprnviiiK tUu work doioi in our iiwii hi'Iiini1» uiiil 
OlntMi. 

Il la n ii<il*iri<iiui fMit ibal fitw i>r iiiir NiiidenU 1uivi> u>i>' kiioiiUtld'e of l>i<>l»ity 
»h»i tbfy b<i|[lii tlin Blail>' i>f biimiiti iinatoiuy. I know nt bill Ibm ovbodla in (hi- 
l!nlu>il HlnliM (JAbtiH llutikliia tliitmraily, rnlvrrallj i>r Mk.lilKilii, nnd Ihiliii'uiiiiiiii 
UrdtnHl rnlloKf nf rblliwl<>l|>IilB| wbrn> ■ |ir«liBilniir}' vKanihuitMiii in fiannntat)' 
hMiifj U Tiv|iiirvil. Alitimieli au niilialirr cxMitliiiiilDn In ]ibj'><l<v 1* tiufiini'il li) 
■laAjr n>nli>al vlii^iU. ilioiti nir iillwnt wbirb ailiwit nldiiMit aoy farh mnumnvitt. 
In 11mm> wtiirli itiil'niil ntiiili'tita li> IIiiH pri'tiniiniiT) IphI, tb» ttxaniitmliiii'i is ^imli' 
aUy rdiifliii-d Id vvij' vlriurntary ■|ni<9liuu*. Sovural of ixiT Unit mhirtil* •till iilloir 
j'Diitii; iBi'n lo '■•■Kill (ti» inrtliciil cnnicnliiin witlinix iin; |iii-viiitiii aliiil} of l.iiliu. ' 
II la ■ llllto vinlianiiulni; In kiioir Ibiil ■tiiilrnia nilfiiinK liuiBnijiiittiir mUrsm arr 
iniiilml 1i> llii> Aii»i)<'Uii tdalllitli- of ll<>nin>|iiitb) Ii> )'iiau>aa n (imntlrr Urniirul 
ajMPnIiKn lliun la ili'innililnl "f uiir Klml'tila Ky tlio Aiiiiirimii Uiollcd] Aiuuii^latl<>ii, 
Uui \*HiK^inUi^i *^t AiihVrirKii M^'dlvitl 4'<>itp|c*'*^> "' <"tr Imi»I lui^liral ^trJiiiiithn 'J'bn 
lirrllinliiarr dlnralloiinl (■•■|n)mii(rniH of tlio Mnhiii-mniiti Mivliral CaUi>|iii of PbiU- 
•lal|>hia Iiii'IdiIii l>iiiani , iihi'niiklry, l>i<iti<i;i, ]rliyHi<-H, ouil l.iiiiii, Cfituliily not more 
tli>i> iiDc nr Iwti MiibiH>ln tiirlnilti all nf lliiu^ tdjiii'H In Ibr onlrani'i* vxumiiialioli. Il 
ta ixit kllAlinlt t(i npjMi'riut^ Iho oonrnaBd lil«aH <if biiiiiuii nimUiiiLy oblitincti by n 
flratyMKliniill, wtia kiMiir* litlU |ili,vaira, iMaltlolnmr.nml do l.nUn. WhHl wouitnr 
tlial ba AilU 1» tnaiaMiliT Ui^ iianiea of thn Imiiia* nii'l tniiarlm; niu) ii Itllnl witli 
niaaliwiiaUi>ii wbnii aaknl to inrnliiin iin inKlniir«> in tbn buinnii boily of k Inrnr nf 
tWtbit^l nloaa. I|a biw Iwi ronri-|il|i<n uf Itio iiimti I nit of tbn ili'-rlplivi- l^lin iij|(iiii< 
■f ■»alaral(al atrnrturna; wimtli'iH ubitt [•■ aiooiit by "Invpr" :iii<l nlliiKr iai<i<bniiii'iil 
ln«a; tnA U «l * toan 1^ know llir< riiitniliRanrPof tlie Inniia '■•loriinl,'' "vvnlnil," 
u4 "lbirH'^lii,''niii| Itri a IcrtiiiiKl iinarliim vi-iilrii-rilniii. Iilil not I, ;i*i » niniti-iit. 
HI orxt (•■ a liun n lio visa iiiiublK in tiiiiliT*taii>t (1><> fniinllnn of I'l'rtiiiti InlyiiKuiil 
•tmEtnlrv Imh-iomi Iti" |>iofrfiMir*tlribtiU<il to Ibi'Hi n in; *li>lioiiii nHeralleil " pliniu- 
tliinf ~ Yi-I, iiiiiUi oor |>r<ni>nl h)<Ixiu mrh HlDilnntii IIhCi-ii lo Ii>riuiPH on ontcolifj^y, 
*|iit1a"Hiol>-i'y. mill iuyo)o;;y niiil iirx ex|wiil«i| to Imni ■■nM'ti<'nl niiiit»iiiy by dtit- 
M-riiiie tbn tiitiinti l«Hly. To Full aui'b imli-i-riil hn(rb»iy ilinHviiiin i> it fafcKml 
inKiiomiir, an •'*><ry •li'tiimiKtrntoi of iiiialtmiy know*. 1 1 won Id lio luoi'h bntl^T In M 
lliiw 01 mtiHil ImhiU l<K>ni thi< •linrr4>ii<-o ImEwn-n iniix'lc a»<t fnuli, ii<*rvr anil 
rami — wbb-b in alMiil nil MirU biiiiKli"K l«a<'b>*>' tbrm — Hpi»i tlH* ttisul boilliw iif lli« 
hnrar aiitinulu, itiwl |itMlpiiiii> tll u T w llon of bautui undaront iiiitti Ibu avvoiut ur Uiirtl 
ypar of Uiv uDumi*. 

KWia Uaa liilit 111 llntlaii nf tlia Kgyptian pbyalriiui wIm, in th>- fonrlM^tb iwiilNrir 
Itaforv ('bri"*. ran Ibi- Hkk of rniiildiuiinliou by bin b*aibi-ti goili In nnlm' tu obtain 
Abiiinaa bi-arl fur •Initiiuia iliHanrtiiiti. Yvti iiiny r#a>»ailie<i bii cliasrin nt llaitinu 
bta ili'iifly l>mi|>bi |>ri(i> a<i liko Ui-il nf Ibn l>rMl"* bi> hud oHimi nlnoulitMiol In Liin 
(|aiial (nr fciHiwlpilgw, 1^1 tW«l>iiliitil of lo-^lay Ixiiilli bU auiilomii'til aliiitln nti llii< 

Ibihly nf a <l*ail rat aiid llo uiti Imini Itiocb lliut will riinbl-' bim lo )ii»ai<iMilr loipa* 
llBatiiNia 111 lininaii naatoany irilb Ui4iraMiirriMir lo wluimlt«ninilaiBftntal prlucltili* 
Mfi alrttati) kuiiu'ii. 
Olia iif Ibn nu»l il«lil nun till tmnll* "f tlia •i-iw[itaiwi>iif iBuilicalslnilnila uilbont 
pirllniliiari rdn'-slinu la (bul tl«t) buve liad nu cdncatloiial IrDimn;^ In nniu)' tlH'ir 
•yna anil hunila. An Iiimr'a ittay In any iliMOftinG room nill |iroii- IhU point, tlvtv 
la • niiin linlihos i>^* l»rivjii u» if iiiry vera llri' iuni,ii, ilwre mp inukins n (mitJoMi 
•l|»Ri|>l lu pill ttn i-ili;!! uD bi« •ralpi'l. 
IVw aluilruti rail •loanlU* wbat llicy m<o, ami allll fi>war rait iBiikn Ibn oradnat 
iliaKTBiu uf tb«lt BuiliiiK*. I" •cirnllflrnlly runilncti-il uiiatQinlrJil lulwraloflna 
|iu|>ll> alMNili] ba ro>[nit0il tu ilaacrlbi' nrally or tn wHtini; wbnt thi-y nnrovcTMid 



PAX-AMKKICA>" MF.nirAl. COXORE8S. 

mkr (1r.iirii)K« of tlif iii<>iv iuiiHirtiiiii iViiliire?. This niPthnd ia adopted fi 
i'»l e<'liiH)N nTi'l ill Iln' siiiily nl' liisniln^v iiiid |Mtbolni;y iii somo nwdinl 
mis. It i* iiii'hmlili'iUy tin- iiiit- iiiitliiHl nf riliicatiuK' lli« mind. irhiebH 
'■']>t»i'1>- Til ]■■' Hiiii|tl.v llllivl tvitli !^i;iti-iu>'ii(.-' t1iri>irii into it Truii) tlicli[M«r 
Thiit wliii'lu'iitiT* !•> tlic ■•nr' may U'a<l to i-nlliire; but KoHmylli. Ibt 
■npiu'iT. si'iiki' truly wln^n In- wrure "ili" fves nud tho fln^an — tJiB bin 
:ir<> till' two ]irhii'i]<:il iulrts t<i siiniul |ir;ii'ti('iil iimtnii'tion." Wlio doabll 

;iuiiioiiiii':il ilUi'iivi-rifs nt' I'liyM'li in tli*- I'Urly [tiirt of fif;lil^<'i>tb rmtoiT 
■ til lii.'i |ii»-<'>~iiiL: " [1i>> li iikIs ni' .i fiiiry ami ilio I'Vi' of n lypicf " A immdI 
II iiiiii'iLti'in avi>r-i tli.ii milv in (I-niianv ;iiiil sin'li coiiiitrifa ii« nejilret to 
i!ii' yoiiiit: liy ^ll''.'l1l^> nt' iiMiiuiil Ir.iiiiiii); •Ii> wi- rinil tui-n of It-aming whoeiD 

n)i:ir|i<'ii II ]«'iii il wLlhi>iTi I'ui'iiii; t1ii>ir liiiifi-rA. My e^]lerinlCl> in piMl- 
' tr:i>'1iiiii; ('.iiiv iiii'<"^ iii>- lint I'-r Ilii' fviisoii (;ooil oiHTiitivp lia)rgEI7 ii 
>li' l'«r siiiiK' M'ly iiiii'lli:;>'iii |>)iV'ii<'i:iii«. 

l1 liaiiiiii;; i* valiinlilf tiioii>i>vii-. Ihv.iii-i" :i> K'-lix Aillrr lins snid, baud ml- 
ii,i;s hriiiii iiiltiiri'. \V.' invil ii.>i only ilii- worlli ami li«Hiity of the objert 
il iiKo ilii' ]>-i>i'Iii>li<::ii m1 Tt'suit limii'jlit I>y ilii' i-rt'ort for tliii ntilitanu 
iyi>ii'iiin4 t>iiou iliM) S>>i;inii .iiUi^ilh ■ iv^iti-il iiii<'tlti;ciii'p in idiotic bniM 
iial tr.iiiiin>;. iriil t1i:it iii.'iiul ili4.'i|i!ii»' 11111.41 nnt l>e tnu iiiucb nib- 
•1 ti> iiii'i'li,iiii<';il ^11 lur^ii-y. I'h'- 1 li> .il nr'-nlli of nul a fi-w i-iipnlile laiodi 

I ilwMiiV'il ii\ iiii«iiTii instriiiiifiii^ I'F' .-tiiiiiiil iiriTiBLou. Tlie tiiiiefaaacft- 
lino wliiii till- iiu'ili.jl s.Iiool* i"f iS.' riiit.il Stiiien Bliotild iuBidt upon 1 
:ir> i'V;iiiii[i:iTiou in I'lt-im-ni.iry I'^nln^y. .V-i mhiii jis Ibts rcM(iiiT<>IIMIUt CU 
iili'il lo iii-'lii.li' 11 i-'ii.iiTi aui'-'.i:ii Hi i.>l>i>T;iti>ry wort in I>iolo^, Ktodniti 
I' siiilii'ii'111 •li'iiiii'x ;iT!<l MLiini.il ili'\t<-i'it \ . ,.<l'lod III ilieir prcliuiininy kno*)- 
ii.iliii-al lij-n>t\ . Im fit ilu-iii i'..i- iiitollij:fiiil> sinilyin;; deitcriptire and jitae- 
11:111 uii.iii'iiiy. .\- > I'll (■r.'l-al'lv Iiii.»t. lin- I!riii-li flu." yrars' iimlionl coani 
■il 111 iniit 4, ..11- ill ,1 1111 ilii-al s. liiHil.if tli<' ie;;;-t<T>'d ittitdt-nt bn« iirtviiiorij 
■il ill iii(- i>r si'ii'iiiv- .11 :> !.•. ,f^:,: i- ' ii'inir*iiy ri-i|iiiriti;: n yi-or in phjnM^ 
■J. iiiiil l.iiili.iv. If 11.1 -11. Il i;i7..'r.il <.i:ii"Hi.iii h;i* Iii-i'n ol>ta)na-i\ tbtHrnb- 

>ln.l!.<l .liiri!!!; t1;i- ■■.irK !■ 't-! ''I' ill'" lir.if>— iii!i;il riHTti-nlntn, \rbirb teltn 
>it\ in.- %.- ii. 11 '.■i;;;li la Ki^iiiiv i;..- |ir<'liaiiiiary <>dii<'ation of «<«"'"' 
i>l>.'. Hill,- ■ [1... :.-.■. \|. .; ■■;.'■ 111:1.; ,';i,iiv I M■ll'll<■tM>t'b:lvillt!ll•diB«t^le- 
l,lIlll■;ll hi-i.Tj ,1- «..',... ■ ;,>i.i,', .if ;;,'iii-i.-il i-iliii-atton. Il^rtuny ind 
.<r.-.|iiii» ,1 i.r. liii,iii.ii\ k::..»',.,^.-..f ■..niiril lii-i<iry. an pn>l>nldy aDallthr 

II ti:iti.<ii. vv, . j.T IVIjiiiiiii. I:, 1:: , ::. ,,11. i 1 think in tin- otbiT Latin-Amrr- 
iiiLiH-. :i I'ii't.iLiU.il iv.,:mvii;. 1 r ;» a li.ToMiiry )iurt of llie jircliinilUty 

III lit" tliiPM- hIi.i I'liri'.'M' 111 i:i;iii!ii:; ii.i-.ii, nl -tadii"'. A Vimii]^ ni:iii dtniitnu 
iiiL; .1 nil ill' ;il >. h.«.| Ii.id mil, b Ii. ii.-v w jii .i vi'iir, ami di'Viitr tliat time to 

iliiuii-111. ].li\.',i. aii.l l.:iiiii iL.iii 10 ,.;i<-iiivt 10 IwRin profesaionifl itudj 
• li'mitii.iii ;i. .i:M:iii:iTii.', «::li iIl.-.' -::i'rT'. tn. Tb« riilversity Kxt«D- 

i-irswill. Ill !:„iiu s,.,T:.';:-..f i:, ".■..'.•.}. ;;i\ •- liini ibi> nvvdeil oppoTtnoity. 

. Il loiii-i-. ,11.- ,1. . . ■.■.',\^., , .1 (■,.« !...,ik-, .i.n w:iIioiii a ti-achi-r, will aiwwn 

■.■Hill' 111. II inii.h iiii.Ti,,,. .,;■:: ..■;,vii!-.. .il i.'.i.liiiiu is due to thi- pooT r|<>a)- 
»• ii'ii]>ii>iii,. 11 |. iioiii- il;,. ;, ,* i;.Ti-..iTi.;r:ilil.' iliai :i mora pxtfndcil indiietiw 
i--.'\.il.,l 1.> III,, iiii; I i..vtiu •:,,■, -■;.,:::;. a; ;,.ii« ..f to.icbi'n ami ibr nn«-ie(i- 

li.-l-.ii iiM. lull.; |L,.: ■,,.-,, ,i ■■-, „.:,., „; ,...:,, \]„f is. to n ivrtaiit cKtenl. tlie 
I .1 111-1,1111 ili.ii |>.-iiii'.i< .. in. if. ,*,,:, .,;,,. :ii, 11, lint I'd. to bold his pOMliun 

foi.'il.l,. .lit I, „i,i 11,11,1 1 r.i:.-,.! ,, .I,-... ,v..l (■ri'votit." ibo fai-iilty M a bodj 
ii.K.o I. -nl. 11 111- 111.' r .■:■,!■ ,■: ..|- i,..irni'iion. The wcn|>atit of ■ 

III il . h 111- IS i-t 1. 11, 1:'. V .I'l ,, .1,1 -.1; 1 . . -■r;i'.\ . 

ni.inn s.n- il,.,i ,., ;■,. ,.,^i,,,,. ; ,.-::ri .i:,.ii..iiii'Ul iti'moDMnilions on 
■1 I'.-.li.-. 11, 1,. II,.,.. , ,.; ;., u,,;..\ ; :.'i'-.)i; ;'.;,i\<r-itii's. Iiiit that "ill oiber 
II.' iu'Kl.'.t ..1 :iii.ii,.iiii,.ii ii,";„.-...;;,.;:..ii « .1. i,'aii:wl nut ao math bf a 



PAN-AMr.RlrAN' UP.niCAL C\>N(iRES8. 



1149 



■■■Hhilti of iHHiInt** liy iliolillfiW'oainl igu'itniiiw of IV |iiiir««Biir«." twitch aslnto- 

^Miml, ll Is t>i !•■< fpai«il, Iti <i(ii ntUiKntlif-r liiapiiliiii>l>l<> [» tlio »ii>li>ininil iiislriKiltuti 

^■Mw |[tian hi Winn >|iiart«ra of tlio UiiIIihI SIntM. S'liiin iiwii of mrttH IsMiiiiis >»ui 

^■lol ti<nrli. Ttio fuoiilty of trafiMlloK kiiouUil|t<i i* ilinClurl. from Ibo fiii^nlty nf 

^'ftoiiulriiislduivhal;^. Til (I'lwli it imt •iinHf lo t<-\\, Inlt !■ tn muko tlln fiHXKtnlnl 

Hf t(ilcrnatiii):ui>lMi ilenrlltHl il aMiiiniwJi livtnf* iiiitHirtaiif« niitl I* oaKorl.v oiniglil 

anil hili-l11)(«nll}' tvUliml hx tho Un«ri.T iu> i> pnil of hjiiiwlf. A Inarlirr ■iiiint ilnir 

Iwhl, tlrai o<illiiH<», (imillini: iluMlli*, ati'l rciiKiliiig ««iuiit>»U iinlil lii« )>ii(>ilii Ii«to 

i»uM>iitnl rnuurwoik. uiHui wbii'li (bay tbuiBMlviw uuty ■■ractuorv «littHint« iitTui-- 

Xarrm nt u rtilitrti lliiw. 

Hb wbii biia liol llxt |Miwi-r l<> M<li:«t Ui«eMMiliiilH»i»l IkwI tlio orhiilnr 1<> n-HMi«i 
dinl nlmrrve in tll^a(illlI(^ of Ihv t«4ohiii)( iiistjiiri. TIk'ii Ills iHotiiri.'" lu-viiitii- ■iM'rK 
rrirllaUiMI* •• wciiri-uiniK lu liiiiiaclf IIH li> lil« liivuliintnr)' iMMrrn. Ttu' lriii>U'nrli«r 

Ifnrnldina liU pu{>il wHIt <-i>iii{iiiii* ami rhiirt; no luriiv<, Tbu Inlldr mnnt loloi^t bu 
riHili* luiil much bU tiarli'iT l<y llin eivri'iw nt l)i<u« iiilelleotaiil iiiiweis wliicli biivu 
l-mil itiinn lilBi. It kir\||pjl(iu-i' BUfI mil liiniiiui)- that )liti l<ri?ii titly Piillcd tlie 
tBiittinr (if libiM. 
Fi-w (nuilii'ra «f (4iHlHy ruii'l iWr l<?ntiii*« oil .iiint»(ii> : ■•■il iii ■oim- itiumm Ui« 
)«vt<iti- ■■ *lill M lifol"*H an if ri-ail rniin inuiiTiiH-ii|il ur l^tt-lmxli, ami ilr^tilDIo aI 
rtlhi? ilciiiutiHtrntiun i>r trtiK li'iMibtiii;. l)i<lMoUc twii'lits)* cnii nut bo viilltely 
rrl I IX) "I* '"'>!> '"It it Uao lilllu |iliu« ill amilmiiy. IkiiiiutinlTutiuii by ii|iKciiiieii, tlia- 
■•i'ImI niiUvitr, btni'klKitirU •tiiigiaiii, niiil living inMi-l iiiuat be tli« cbivf r«liiiur« 
I of till' |>nil"WK>r of mDiiiiHiiy ulio i)iniir<^ !■> bold tliv ultniliuti of bin cliuaaiicl innko 
■naluiny wbal il it, niiv t>f tba iiiuxt iiilvri«llii;; Itriiiii'licn iu tli« iiii'i|i<':il iiirriunlum. 
Snt many stii>ti'>i(i> will W< nl<Hoii( fruni tlii* IpcUin- liucr (Ic>voli;il lu iiiuloiiiy if Ihrjr 
klitiw Itiiil lliv •liilciiii'tils rvail ill Ibcir IfXl-li'iokn atr- ti> be vi-rilio<l by clcdtHntl 
•Uiiinlalioii ■•! Ib(> ■unkclTx (-ii lli«> iin<W idoiIH ; ibal they ii[« lii m-i> iriUi tbnir i-yiu 
aiid Ipi'1 Willi Ibaii ImfkIi lb-- (llflVri'iici biilniwn iiiti^ry. vfiiii, iiml iwrvr; tlint tli» 
frM'lM-r n III inMlo in ■•■li>ii-'t iniyi-it ou ilx* lilarkboniil llio lUntinitii illiinliiiliii)! tliu 
Ivlali'iu" II f Iniiin, iiiilM'lv. mill I'lai-iix; tliat IImi illiw>r{^li>il 'JiiIliii'I n ill I>i> ■tllillnl ill 
IJiK ■Uiiilliii; iMiatitloi llut lltu liKIMnlusijf ><\i>r<'ahl»ii will )>■• llliiHlrnliHl l>y (ibotiu- 
f[ia)>bR anil d'hiiiun <if [lubliu rbarndi'rn : cU:il owcfiii-r iiiiutamy will bvi'oiiio iulor- 
•■tliiK W-aiiiH' aliiilinl on tu|>t'iiliii'tiona of tbe faitiDiia wurki uf uuriciit (irnik iirt. 
Milai'iilar wi'li >n> iriii ixily In' Iniiffkl ■■lfucliY«ly by volniilury n«p uf tko iuiiiii:ln« 
^_uf fiiiili* MiinlaU, )iT by lli«ir iiivolimlary ruiilnictiaii in<liir>r<l by tli« lOci'lriciil rof- 
^Bniti- lliiiwa mill i>llii>i HjioriiUL'ua in tbo bandii of tbx itutruvtom iiip «f llutii vbIim 
^Bn Ihv alNiliiiil irnlml W tetH nway. TIiih diMiiticu c Di'viimlly ]iti>bibitii llin latlsr 
^■^MBM-HnK lbi>UMiaini,KnKiT»,aiulfor>iniua>uU«iiioillyiiiHitiimi-il by Uio iiiirbrr, 
^^»bii la tii<tlin|wi ■Inifly muliiiK far bU nvti iiillKblviiBii'iit' (l>r Irlli-rliiK j.rliitnl on 
iImi Ihiiii'. t^trii itiis»hlic DiihIH' In (li» bmiiU nt tlir trarlirr ar» Ii'kh ■livimliiuciilM 
ibun •|ii|iliial« (iiiriiii'iia ill Om batiila of (tin hIiiiIudIii iliiiiii]: llii' time uf iuslriip- 
lluii, )<•>««' Imrbi'l* fill) In apprvriati' ibiit iiii rliilii-nili- |>ii-turr, (lioii|{b viiliiabl« 
for i«fi-ii-iini> by iiiHi wb» biiA known III" iiiiiluiiiiiAl tvuioli, i* uf little acirvli'n to n 

iiltiilnil. Th" rniitwiit •liaict.nii, iiiulc Iwlufi' llii' liil.trc'o i>yiv>. iiinvi-ym til* lili'niillil 
Ivva it In bit ■•ralrt. .\ \iU-tr iifi-bkilk ami a blanklnxnl mo llnpiTalivuIy (lrtli:imM 
■ bt'iiaii'i auil wlii-fvri xniiliHiiy l« t(i Ih> (niiKbl. VpI I ti>i*nll lbi> iIIimhtIIiii; mum 
if n wi'll'knowii iiMHllrnt arluMil wbji-li fiir ywra liail «» bturkbiKint. ihi <>1iBlk, nml 
HI ikrlvion wllbiii lin wall*. 
IhTiiiianU of rlialn uf imatiiiH) not iHflyi|iianlly bmk iitMiii tl>i>ii' |Hikilii<nB lu Ivni- 
Hmry, iikil liaii; fur Ibn oi:i-iuli>ii wlicn llwiy amy Im Iniii'ifci'tal In ii (l<i|>atlni*iil In 
vtiirJi tliry IWI iitiitn iiilaml. Wlio tlmw not kiinir priifiMMom iif iitialniuy Ibiit 
iminpUy boroiiio iirufiMnm uf ■■■rii«r>' ur oltai^irh-a mhr.o ili« o|>|Mirttinliy nriai-f 
(hi* ran a* lillln i-xim-iii aiirli l«iiir>>irar> niialooili'n] I'linlia t» )■« llllnl uiik oiilba- 
■Ualli' ui><l •iirriwtfVil tr>»«brn>, iia to lilol |>rt>|Mir t(ia<-bli>i; of ii|>Iihi*>l iiiollrat auil 
•urB(iialiiiM>l"«iiy nl Ibn biiinU ofiiliiiiil'-ianR ttbiMn <lail> work Ii lilrmliirn ur llfw 




llfiO PAN-AMKKtCAy MEDICAL CON0RE&'^. ^^H 

InmrniMw, AgBln, It in not tetti>»iiablH In expect ll.oon irhiiwMuly «tlii««tl«i ll^| 
l><M>n ili-lm-llvo In lin nliln t» luiirll lhi> ni'itniil ii'UtloiiK i>f iiti.'loiiiy In blolo^^| 
(■■■'•' li n II Im, mill p»yoli»I»Ky. Tiio i-luilrnt iirt>ilii it wlila |)rrliiitltinry eiliuiatioia pB 
KI-IMonI t:iiowl<v1m><-; Itiil lllv t4«('lirTof uuninmy In lirltili-tn nillltxll it, 

No i-'riliniiini is loo tmrvrr fnrllio xyiilviii lliitl ptwcn liist ami nocuiiit cuime mvlioiil 
nliiilpiitH i.i nito duBa Touiu tu li«>r Ihu snine iliiliK'Ui* l««limui nn anHtoniy. Suvti u 
[•iimily (if iiiKtTurtiou ta |iraliiatilir iinkiiiiwii ox<«pt iu nicilU-iil schnoU. T<i pi>ni|i>tl 
linir ur lli4> PliiM to hnnr irliol they ran lint pdwilily iimUralutiil, In fnici.- tlid nlfarr 
tiiiir to IlMrii tu iniioh tlial lli<-y hnvvulrniKl)' Ii>unicil, in r«<r«|tiii'(><l lu iillix'jr 1>y ovnry 
nOi', I'X'rpI tlia profi-uluii*) ]ihi>iio;tn>]ili Ihnt t^rh ycnr roprntu at ik itircti lioiir tlu> 
nnnU wliipli >ii<'o<u-*ivn i^liMHM liiivn nti-nlvnl an iiiHt.nii-tinn. Tcacliiii); Ihiii ifHuil 
unvM Mil us til |p<t'l Nlfip liy Mcp In liiulirr hiinitlixli;^ is niiwifrCby llic iiannv It ii 
iiiipiMHililii I" i'uiii)i<il« (lii> liwt liuni>. iiiiil«vH'ip<^l iiilrlli'Fti), uud ilixiulftH ill iiialiviil 
pructifnlili' In tliis iiliiieit ilistltiPlivvly Ami-riciis folly . Thii iimltviniMo nivlliud 
nf tiMcliiii^- liun 1iL-i-u rpliiiuoil ii> Ihv ilrpiirtiiient >if imiilnmy InnRRr thmi in ■niiMt 
ntlii>r iliipiartu^prit*, Ixi'diiu- tile iiiipnrlaiit nitir titPtt lo bn taii|;)it In mialumf ItHvo 
biTu hid iintiK'rixi'* iiikI vniKpiiii'inK; tlii'trfnrfl llm Khulo iiililnrt ciui bn jirotly niMa- 
plrlcly ilinciluu^l In iiiio fnulmi iif ]i>r,ttiivH. 

\<> mKliiul nf luslnirtiiiu fulfills it» iiiiiMioii if it tUit* ant itovclop tli«-liiiliilaf imt«< 
penili'iit. iiiriwlii:>ti'>" <ki"l work. I'lipils ii«<^il tn lin liiii|:lit l.lie inaiiiirT nf iiistilut- 
liiK atiil rnll^iuinK nut nrigtiinl iii(|itiriu>i unil llio lue nf tlie tiieriiliire nf u nnlijoct. 
Von cnllri'i'ti Dt(eDi|il t» tliiii niniiHi.' tlir pitwern of ubMrvutioii uiid tu nlimppa tlw 
moiiiim; fur ||)l> prifM offinvil in nnmn Mhnula for n mmril nf niiomiiliu foiinil tn llm 
iliMRi'Iliilt rooifl xnrrrly i1i>vrvi> rmiiiKliTiitlnii iti t1ili>'>iinii(ii'tJoTi. 0)>|>iirlnii>tlra fti' 
nii)[liiBl rt<M«ri'li in hniiiiiii iiiiiiloiiiy iiro uow nivi-u, iiixl mii-Ii work !■ nii<-i>iiriiKi'il at 
Ilia' tlnrvanl triilvpr*llr Mmlirnl Sckiml, T1i<^ I'litlrud nf rbysii'UliA aii't Siiriii-nim nf 
\Vw Ynrk. iiimI lit tliniiinliial ilepiiri iin>i>t of Cliiik Inin'ttiity, »t WnrvMXr-T, Minm. 
Thv liint iiisliliitiiiu, liixirver, •'••nfeiH iiu ili'uiei"- in riivil[viiioiiiiil ilor* nut piirlaki- 
nf lbi> cliurx'tf'i' i>f n ovlionl fur nni1<ir;p'iiilii.-tl<.'S. |liilncli>i iiiatiiKliixi iiL lliu liaititn 
ot Ipiirhcni <rli<i OKXnr i-i>tilnt<iil« a ■Jiii'lp iiuu- fiirt nr llioucUt tu uiiiitmuical nt 
niHlknl lllrratiite U not ■-■trii1iil«il In ciicu»niK» n stiiiit nf nciriililii' iiiciiiiTy (n 
hIiii1i-iiI>. Tkt' ■li-iiii>iii'irtil(Ht nipfiiliiMUt to tJir unicTilille irurlil nf ii li-iii'lift'n nri|{iiiii] 
ti|l>iir la a poHdrfiil ■tiiiiiitiiTit l<i iu<<>Mi|[<itloli kliil ni'liMitlllcTivalry iiii>oli)t liU pitplla. 
'rile linnl nf Knrli ■•ppnrliiiill)' utiil r<t:iiti[>U' I* iiiiHili f«ll in mil ■■■lionla. 

Iei (vrllllii IliiiiK" U'c ui'i'it In irliiin In mt^tlitril* nniplnyail In ttie miilillc HKi*, Itilt 
Inb'i orrrl'iokpil or fuiKnlTrii. In lljn lii-]{iiiiilUK of tli*> flftfrnlb I'oiiliiry imknl niC4i 
wn- nwil lo (l«>iiiui»lr.i(i> ntiAloinli^ul fnrl", bikI it U pmuilblc ibiil niilllii«' dlsKraiiM 
af ihi' <kv|u'r Ktniduro wnv ihhiIo on llio Ubivi kkin. Kxiwrirnc" uitli ilTiilitDtn Iiiib 
•liHIiilantly Hlxiun inn tliul xirti " miAtotnicnl ctlttin*" iiiih'I »1iIi crout fBvnr. Tn 
|[TiHi|t in niii> |<'<-ti)r« >rvi'r.il niiitu iiimlrU ifipiviitiilni: tli» ■■tlcilH iifillM-iiiM i>it 
BbnliMnlrnl UailitiHika in tn<Mt vhIuuIiIx iiiiil ■■-fwnliiil in tTvicliioffaiiil Hn«lniiiiiiK 
hilnrfnt ID i-llnii'iil uniilnmy. •'Clintriil lonrm-iiot^" iu vrkicli lii-f>ir>! hia rrllnWH 
lllp inlvtinrnlfltnitrMI |>i<tiit>i imt and ili-iuunnll-ilra annl'miii'Ol Ipliitinn* Tipuiilbi! Ii%-- 
iu|[ Hiilijiv't, iloTi'liip a llHliitnf tlintnnsli liiv<«tiKi>(i'>tl of mnilirnl iiinl iiii[;;ii'nl eiutaB. 
lis i>nl>^i|t|iHtli vol II* lii/h*):iinaiii> Sk cii'lly npf<rvi-i»li-il. 

TliU fiifin (if iiitiilniiikMl li'iit'lilnc tn mniiifrittly ii)ipiMiil>li> loan loatrnrlor whtt 
tiiiia no l<riirliriil kiiiiu'li<il|[i< nf ili«ciUH> mnililiorJi. TLin ndcnuiily fnr <inu)|iitr»lii'(i 

nnal > . innrplinliiK.V, nnl>iynlo)cy, nti>l iii>l1iI>ii>oliiiiy iti a purfni'lly iinniii-nl anu- 

Iniiilnil rnrrirnllilD may THiiuirnn pnrlKili nf llin intlnit'liuti li> 1>l> i;ivoii l>y n 1'lnl- 
nulal. ]>n(>' Btiit niinplf-; na Initu, hnwrti'i. ii* it ii»<ih<jil at'linnl ia In Iraio mcillenl 
jiTB' Itllniipi" llif ili'miiinl for n |>by"i*iian or mirittunn in 1«anli nn'illi'iil. anitcli'^l, anat 
arllMl(i niiBliiiny nlll t>n imiicnillvp. TItn •u-lionl tliut pmviiln tin nntliiialnatl^ tilnU 
o-iiat fnT thni>i)«pnrt><*<i>at»il a piwiUnlnit tiai'lorfnr tlirolluir will Iwat Itll tL« iMian 
(levnli'il In uiialniay in llwt nill4i|!<i ■■oiirM. 

'din ln(j|;lln>iilt)it o( llic uiritinnl KurricnlBM In uU auliooU t» miiipsl atl«i>ilBiM» imi 
foar rollaf ■ piriiiBiv wuuhl givv tiiue for iBbwtnlnry wnik tu violiryulugy ami cmb> 



PAN-AMKRICAN MF.niCAI, rONOHKSS, 



1151 



I 



IMrntive Mialoniy. Urailniilmn bIhmiIiI Ihuii ■>«• defrrMil until tli* agt^ ot 23 y«an, a« 
ia uon >liHic ill (■newliiHil < WiMiiitii'i ^l^lkiil CVII>-;>c uC I'l'ntitif Ifniiln). 
Tbi- luiiHMitiiB Riuuil in iDiKlirst mtlt'i^M l<iiu> iiiiH'b at thuir trncbiiii: valiM Iwc4iu» 

ttb» »tU(lniiU bMvu liiuitoil Bi-ccM l« thu a|>Miiiiirtifl. IIoihw iinil iliiiMvUMl |irupwii- 
tiiMi*. Iiotli ""t Dill) ilry. 111* iiiiniul ntiMfimy •bonld )in piil lii tlin (tiKlnnt'a hitiitla 
fur roiapMUaii vltli bla r»n •li4'«cl)i>ii> ami llw itiXt-Uiok llliiKtrntlim*. [ii moKt 
nunt tlin trarbur ulniifi tiiiixllni ifa» iii<>i«^iiiu t|>upiiii*ii«. Wet prp)>»riill»na ■truiiiii- 
■tiBliiiK normal rtainniit iiii[i|<iniy ate alnimt iiiikiiowa in i>ni rollc)^ rnll(«tiuiiii. 

Till' iriirk iliitiv bf Hluilonia in lite xiii>li>niical rauinti ivmilil hr at u ittiinh hi;(li<ir 
icriit* If niwb al>■tIll••^l of On- rliiM wni n'ltniml to drttw, even in rrnd* »allinc«. tli* 
1 K(iii<*tiirf>i un-'iivririt li) ilia •llaanrliona, iiml nndi-r tli» iiiiiiliiiiii' ot iili inalim-tor to 
[tlriiH>ti«iriii>- )»' iii»tiri|[a t" tiM lf>lliiwa. Dip iKi^cTiwity uf pn-Arn'mii rnduvm ill 
lliia ciiiitiirv by laMnuUi liijci'tioii villi iliH' rlilotMli' iiiiil ■liiiilur ili-coloniln)* u|ceiiU 
1 iiilU(Bl/« III u rvrlaia <l«);^■•^ iieiiiniit fine irnrk in i»tr iliMorliii^ luomn, Tbr iidDp- 
I Unn nf Ibn |iriiid|il^ of '-old 'tuniKo by houio aDbunln tll>^ll<-''*'ii^ lliinpiliil Mcdlrnl 
' l'«lla(;(S Chl'ail" Unllial l'oll«lt'% miTiUcnl ilnpUTtUIMlt of Wentrra Ri-mTVe riilviY- 
I alLfl •li«it* a way iml nf ilin <llli'tiiQi:i. 

t;viniianl»u>iH in unutvmy. wbivb iiilt;l>> ''<■ I'MtitH;, ahoiiM I>i< I)(l1>ll1ll^[«ll :u miiuiin 

l|H>r4o>lK »f IIh> conraii, T1i<m- in Ihi' onrly ytkn onsbt In lie rrMtrtrtv^l lo iiat«olii);y 

[■•111 aliulliii elrin«iilaTy loplot: bill t]i« IaUt anil ninro (IiniriiU miiniinatioiiM iu 

[rr>i:li-iiat,ini-i1ii.-iil.<>iir);ii;iil, nn>l Arlistiv atialuniy ahiMild beMti'iiiiiluct'.-il na lu reqiitra 

[tliR ii'B or lUa ntrlini kniiwli-ilj^i', noil iixloiti' di-uinniitinilrius of ■nifiKc ■nutomy 

mtil III illMorUuMa. A •Dbiiitnlinn of Kii|;lii)i tvnni for Ibu LHtin/toniPiidatnii-, still 

I InriEely ri'luliii-il lii ■iiiit'iiMy. would kiid llie iivrinH'' iiifdicBl pupil Ik ondKr*tjitiiI 

unuioniii'iil nm'liiiiiirs nnd miiKrinbiT llin fiiru irliiib he li«* [iroH-nli-il !■> )i<ui. Miii,-h 

' nun ;;iiitiiril ill l''ii|i>|>'<lH ■iihiK>l> »li<^it I1|f iiii-ill»<vnl ]itii^lir« of IciU'binc ii|i)iliriiii4 

' in ilrluMril IjiIIii wim rrilni|iiliilii-il. Till- pToriNior v\m li.id lo nm- iltc vnnuiruliir 

una roinpi'lliil li> li« ^tri'iirale in alulviiiriit nn'l clr»r In <'v|imulon, anil lumlil no 

lonvi'' '•'>l*> !■■■ licniiniire in hli;li'Mitiuiting l.«tiu a^nlcni'iii inijicrfii'lly nnili-niloiii) 

I S) liUrlniM. 

'ttin loin Milniioil of ihu VMliipalioiiiil pinbtrnt in nicdicino ia the illsi-MiliniianCA 
[nf tlio luilalion o\ialin|{ ImtH'cpti lui-iliriil siIiui'Ih »u<I mIiimiIb wIiom! itlijcci In ([rli- 
Itrral nilui'iiUini nnd • Nllur*. V,vviy luuiliciO nt'liuol xlioiilil be nn inli'iirnl piirt of • 
■■r>)I»Ki' "t niiHi'ralty. hik] alionlil not ba niaiiaicnt liy nipn anparatnl ttttiu tlir wltnlo- 
aiiiini nilitnattiiuat atnuMptinn wbirli anmiiinil* InatltiiilloUii di'vninl In luiimtni; in il« 
liniailaat •mian. Tlip |>p|'|Hi|«i>Uiru ani) iiTKanlxiiliim nf l»nlnt«d iniHlii-nl acliimlii Iina 
l>H-n tJifi rnnan ot nianlfold ik'rN'iK tn meiiirnl («ui*liiii|e. and baa •'iidnl in inakine 
ninllril [iwUi^gii'* nn tin(li<i'i>li>|in) t<lriiiii. Tli« nlni'^lliinul nnil viliirntirti frirml- 
■itiipa. iiTi>n til" liiwtillticH, riii;i>tiili-r<il liy n i-'>uitiiniitiuii nf ninliral und nindi'tnlra) 

|w'l(ui>la wonid linng iilimil ln-lti-t pnOmiinnry iiiuilillrati'iiii in incilii'nl '■liiili<iiti> ami 
iiiu(« udTanciK) nii'tlHul* of li-iicbini; in piur«>Mir«- It in Itn- imliiinl unit tb« mini in 
Ikn <>i>cupr wliu ucvi'f ioihi-* in r'lOlart <vitb llin Kiipi-riotv, Ilmi Idilo ti> in>|>ri>vi< bia 
liwIli'iiU 111 wink. Til" viilnnlilr " rontm i>rf|i«rutory to iiwilirinii>"' ii«« foimil In 
winnl noivi-r»itiM, wi>nM ti<-ran»u niotw nnnivrmia: and mi>ti> voiiIIik. liHiklni; (or- 
itatil Ui II ti»->lli'iil •uriiT, Houlil Iwuin llifiii aludliu iti nm li iiiunx'H, If tlif> ■inicrr- 
ally nnd llii»nir<lir,i| colli'^ii wtiiDiivi<rvvrlM'n-<-onibin<^l. Tbii* llmntiidy of nwiliciiii- 
niiiild Iw n KiiKliial il^vfiojinit-nl nf tlir mlnil aiKl not n mett' ii(u>in|>l to cniui) Inrb- 
niral fiHTla In llx mniiiiiry ; u |iiiH*«>a in vinliiliim of Ibi- l^mt pnnri]>l*u of nliM'R- 
lia«i, »■»! nne wlili'b iitakra ninn> niiitkiil Jimmryinun, bnl frw medirnl lunalotn. 
I'tilvunttUM.ai'nilMnin, nnd nil litnntrv srlioi>l<i wniild Iw limrfllml by Ui« iwaucin- 
Mmi witli niedlOMlrall>-Xii">ni>ll wonid Inndlarvnuti-ud-r ni(nlill(iMl<>nr>riki'riinii«r 
ristd rla*ak«l riHinw by Ibn dxvrlopnirni of ilio iti-]iailiiHinlii nf nalnrni ai-lMii-n nnit 
UBKnui(pa. Till* I'lianji* uonid niiwl nllb Ibv iip|>iiii'iil of innny ItiinkprB, nmong 
^B uUirr> Uv Kntfu'riir of (t«rm»ny, wlii>, yim mnmilwi, lia« m tom-ni .ii-utHxbowii liiu 
^VWlor ol yi»ilbr>il I'lHtrsy b> tiMisiitii; iipiMi ili<> nf>ri<>itity of miHtlf^in^ ltti< ntilot 
1^^ aAd nuytaldinii alaMivitl nirrtnulniB an tiMig eLfurMMl by tbe (ieviuan univoniiUM. 



1152 



PAN-AUERIOAN MISItlCAL. CONOBESS. 



PAPERS READ BEFORE THE SECTION. 



THE DISMEcriSr. BOOM. 

»fK.Vf. KUUIKM. 11. II . .If I'Mlk-lnlpM*. ■•«. 

t linil aiitlciiKilMl till* filikiMiirr ^r roi-toniiii; Uie vnriniii iimIiIhiiis iii tlie )>riu-Cir»l 
i»aiiii(:c>t>''ui iir till- iitiiili>iiil('ul luiiiii. ID ui'ilvf tu il<4ir<> iMhiiutiigr riuiu lb« tixpori' 
i-iiutfil ilisruHiiMi iiuil (TtticiHUi ol' tbom- (ireaoot, bul Ibo esJ|!Dncieii of tiin* iui<1>>pAi'« 
vi^iiiti IliP tiiiiiiBiun uf iiiuiy. 

I nimlil hill have vcntimrt njioii ibo iH^Wllnii of lIiU tufil'^ lii llil* prvwriMi w«re 
U lnA lot Ibn uvUkiiI tifKWt "t till* Inijiorlniil brnni'li i>r iifilical «tiii1,v (if liili- 
JMt*. Tbnl iiualuiiiii'iil qlriily wnx llii! >ill>iiii ot ull ■iiP<lii?ait kii(inlfdf;r, lUa( u itiii- 
vrlluj^ riiuui, h •ii|1|iI.v ur IhkIiw, unit ii ciiriMt of (^aclirTii wBti> Jili»n[iit»ly tn'Cuamu^, 
bave itliriijr> Ik-pii usiiifiiH. Hut muU' lliuii Ihnt. whtit liiu lii-cD ilaQo ill tli'^Biujurlty 
i>l tlix BrliiKilH. Look nl tlio itiiiiiriini' ii(ijiri>v«mnii(ii in iilbur liTaiiitiiii. Twenly- 
(kin yvij>n> unit irfll-oiiiiiiijinil ]>bviiioIiiuiciil ftiiil rliMuicnl ami iibiKicnl InlKiriilonM 
V«rr iilii'iiitiiiioli ; giiitliDli'iiiral iiiiinriiniK iren Hlimisl iliikiionu, eiM'pt ill iiuiq<-. aikI 
|iTiii'tii-ul liyiiJi'iiu unit burlcriolo;'!' irrrrr tiol in rxial<.-iic<>. Tii-ilsy the a)>[ta[liinttin« 
fi>r rivwurrli ii> iitiy iiiio at thue u'nii|<l Ikih) a lifrliiuD. Iitit ill nnutoniy no Mnnil 
»«l): ••II Ihr l>iiiii> uf tlif iionU nl^ a ■luniior of li ci-iitiir^ ago. Ki>nnM'ly, MitVotBy 
iilnimeil ;t j;oi»1 aiii>-apv»iit)i of tllc rpi|Tiiiv>l Dluiliaa: toilny. it bill nr^kly iiILowb a 
»|t«« Willi twriit.v iilnuiR* biiiI ijifclrilticn whii'li liavn bcoii di^Tiitod bj tliHr mori- 
«n(liriiiiiialti-iMlv<ii'itl''«. 

Wn oneri mtimulfl the npcnil of oiir triiiii l><r Uie mpiilltr wllli whieti iro ntuli by 
■tntioiiBry objoi'lii; niid ponvrnwly, u* iiiBotiiml niiiiloiiiii>tii. irir ciiii ine hnw wnlinve 
*l»ml Ml ill hy llix inpM |in>»1iiK of t.hr I'oUati'rMi 'inuiilini nhlrli limn aiwoirlnil l.linir 
IlIigroclsLiiir iiiid (nki-ii li> (Iii'Iiiiu'Um tin' limn mill Hitiiiilioii n hirb mil' britui'li iioiil*. 

Ouixif tti<- mil ill niniiim* bun b»rii Ilii> tKilHlliiK iiioIIuhIh hi voKun—thir uiaf itiMliiir- 
Itiiii liy li-rtiiriiii;. ilin rr-wci iii>lnK-li<rs n-iiuin-il — wliirli ba- iirm'tlinll.v n«"iilti>i| 
ill Ibr iulil<-<l ■.■■iiiiliLiain of tb(- Ircluri' nyslpin iiikI Ihv uiiiiiiiii^itl)! ••( tile [iri'sunrll 
■Ti)ii*ri ixiriLi ill ili»M<rlii>ii. Tlie iiii>tboil i>r In'ilniilv iimtrai--tii>ii ill iiimliiilm unil 
atirjirry d<H-* liiit i>l>tiiili. lu it nlluiilil. in llii- ■liiui.-i'liliK tuoiu of Iniliiy. 'lliia i* 
pnoiilUfly iiiifift'inute. I.ectiinDK iii«lh»iU iirc npi^i'iiilly ill Httnl for tlin Iiii|iri-AK 
li>t;i>f'<ii' fui'tH. Ki-nlly. llii--'\ij(rMii'irHi>rjiTiii-iiiiti.if iiifilii-iiiiTandAiiriii^r.v iloiiiuixl i1ii> 
■pplirHtloii 111' iliiiw fiu'U cliiotiitli ili«> i-yi' utiil biiiitl Ktiil not by iliii i-.ir, mill yvt Ibi' 
bi'nl li'vliiriM run iioc xxblbit bin diSHi'lioii tn tmiio llmii .'ill kimliTntii iii>nl(Hl jiiiiniiil 
Uiiu. tuii| whi^ii fill reiiimiil>er ttint >a Cli« Inrgi'r icliuols titlvu Ihi-tr an 7iX)i yiin it|i|>ic. 
I'lair liuK raally iiielT»«tit« is Ihp itiHtlioil. tint tliiit 1 il«|>nH'iklv in tbu IwlwI ilii' 
vklnn i>r IIm> niiiericnce o( the itri'iiiiiplinlinl niiMoroiat wliu >lireclii in hi* lerlurv (bn 
nnvti-i' III bU uluitkia; bat a loctntit roorwr run not tvnch. it can oul.v |viiiit ••ill Ibn 
Way, wlilln Ibi- n-ul l<t*riiiii|; miinl Ixi be ilutio by tbn ntiiiieiit hiaiiwir in bl'> rnuiii .iikI 
nl llir cnilavi'r. 

Tl>« mi|>liii''iH, liowi'iiT. U pvd Iniil llpoti tU« nil etui nnen <i)imii 11u> bnniii i>l tbn 
111' la K. and llii' •'••iiip'iliiioii |ii oiioii ibn •'iiniiiiinlioii upon Ibo*p l»i'Iiir«>'. ^ll^^i• 
U biirdly n luoiliral Hrbiml (b't iilHi>ltili.dy iiuiiita ajiou tb« (lii'li'iit lii-iiii; pruHoiit ut 
llxKil hniit* ill tbi- dinwritni: rimiii. DiiiMi'l iiijt, of oi(iiriii>. t4»lilit:iitt'r> . iiuil it Rel- 
ii|iai I rrrtaiu pcrli'd* liir ilLain-liiii; wli>>)i \\ir itmlfoit <'iiii iikiic if hi- wiotips lo. Ukn 
'lit- niii'ti'iil alKiiiiMi'M Ibiit HlK^ib 4uni<ai ill' wbuli' iiinnfir* |»Ki--, *' l>iiik inil firr 
nttii aliiwil Ibu tltRo." Kidilrnt* un- iliviiW iiil" kiiihU s«FUi>nt> for bi-diiidr ianlmt-- 
tlnii ill rlinlrnl iiioilirliir aiHl miritrry. 'mt " iwiry ii tut" fi>r dikn'i-liiic ntor%, 
Wb» I'ver hi>ni>l of m>"li'niii''<l ti'iirbiiii: fiirillllm fur ihr iliui-ritnjc runml 'Diarn 
i> IMtlUng bofuHd llle nirpvi-, IIm' ••(ulai'i>[. mid l li' i-itriiH uf IniidH'tn, mid a tlha)l^totl 



PAK-AURRICAH UKDICil. fOKQRESS. 



1153 



•r (WA, Mid llHi l>w UBilu ptolutftt or tlin.-u ilM-ades bwik, Tli« mnHiiia U for tlio 

llliiilraliiiis lit Itii- li-cliin'*, pnil U miiarulod fur mid wide tram tbe ■nnlnmicnl room. 

llThuu ItiB niialtimU'iil toodi ilsdf— it ia » ilirljr (ilniv, jrixi know. If Iboin In any 

fxira |uli)t or o'liiniiiii'ni. it dm-n mil gn (licnv It U tli« tuoit DantltBctlvo mom 

I llio •rliiiiil. Dixl did moil Innccokiililfi. 

I iirmt not a\tiU>^iiji (oi v< i>ililiist)ii>t>>(iRintliln)!ci>aI(l tio tlnQO to vivtfy tli« JnI«rMt 

bi o'lt noliln *>iciirr. Tbi<rn In on luniidi of an iiiiirli pnti-i,k»l tiwAilii^M Bpon 

(liicb Ukid I» *ti< li jiTOlialile li.iioraiti'P in iii« prur<i'*ci<>ii a» lltia. l*iirlb«r, wli«ii 

joii think IhnI nboniitlry, p li>'aiul«g.v, «lp., tua^ Wcoiiiluclmi niitl ■ItidjtsI ut a di*> 

DiiK, Ixit liiiiiiyn AuiliiBiy only in ll» lumlirukt acbovl, llio iimxI of vtininlnlinx llio 

illiidvnl lo itw nil Ilia cITorta to nvail liimitclf of oppo rltintli**, nliich >Hiaroilljr for 

Ibt) iimjuftly will uvvrr i-nme nffain, la moiit inip«nttive. Tliv T«m(>d)r Unoi fnr 

> terk. 'rbii i>iiiil*i nintlioilii n> «acci>«fu1 «l»nwhi.-(a bnvn nvC b«>pn, btit «li<iulit \tt, 

tpplidd la Ibfl atioly of auiitviiiy. 

'DifioUMMwali-iiitil iMiiltvliloil IiiUi aninll aeetlona for Iho ''bedaldoalmly" of tin 

niliivi>r, Hktlb'il inilriirtnn who sinho ihi* a npoviiilly Bhoiilil Im mntiiiitnlly nt 

I ctliaM' Id eiiCKnrai^f, ilircul. uiitl •Itill. A deaimiilraloi uf anututny >Iioii)<l nor 

^piuf lliiotirr, lull B ■ix'ciiilint >pi>n<)tii|; htmholr limu jn Ibo roonia ami miln* 

nlUi Uiri atmliiiiilcikl atuxMpbnrr. NoonucoD fnltlll Ifac ofHcnof n If-ni-liur wlio 

I iiul HUM full of bl* aiibjael. Tlio boiir* of thn inchnnii fnr hlnlnlojiy or liypiii'DO 

in IU«1 ami oeitain; soilao alrauM it bn lirm, aixl uot ipll lonii al.iatlc sweot iriU, 

llllrh luoufl'MI il'iM iiol will lu go itt all. 

TlwBiinliKiii'iiii rooni ati<iiil<l properly bo in n biiiltliiim* l>y itaulf, of Iinl on«ator,r, 

laajt of ■««>■«. Ml Ibat it nay Imthf haunt of Ibe pupil wlicti iiuIotlirrwiuiPOiiiijciKl, 

rliMl nil oaiply ou«'raurtb btiur olionld l«inpt lo lbi( atiftily Hnciilalioii of *uiii« 

tngltf point. Tbi'Tii hImiuM b<> lunplti faciljlii-a for uiitrucliun— attibo vrliiln Ui« IroH 

lkol,Ulbnrl(:lit prln«lpl«. 1 n-jllitiintnntro ttintnapi^ciiDtni. well worked out, plaont 

, llio lianit* of n ■Imlrul wblln ei>i;u)[<xl npon * Rivpti pari, ia Im timoa tlio wortb 

I bim Hint II ti wlimi boM up nt llir ULaliiaco of W f't't lo Ibo inidat of m fbrmal 

diirr. ur wlioii krpt b);;b ii|iuii tlio aiivtod abolf of llic modlvnl iniiauam. Tb« 

■■uMW Id B iniiliuni aclioul is iiHuiiltj' of mmpoinllTvlj lltlln iiaa. Eucb diaacclioK 

on aboulil liavo ila nwn rn] In' lion nf iiioiat snil dij' aprcltiit'iis in Jura or in aunt 

Inniljr docaaa wbro tlix atu'lrnl iimy lie muat lDtor««toil, and tborerutn meal nv*da 

Tlila diNNMilloti U s Iwu'bcndi'd Janus (for wo luiiat ditsoi't In ordot to know), 

■t In iinlur to dlawt Intolllcntlf wa muit bnvo aoBio fuTBhuowlcdi^ nnO tlila 

iii«ili>i la boit oiilvoil by tli« alaily of Ibn nioiat and dij- piopurallon* nbinb Ibo 

iili>ui alHitild bo «nr»iirit^ to omibIbo, iKitli lioforo and nflor, na woU ua diuiD)[ 

liiiKauluTo of diMcvlion. 
TlMi, tbn liuliuoliott alioiild be dir*et oihI pcnHmaJ. It Is liore, on in o\<!ty<i»j 
gfs—ltta );r<'ali-*t plillnnlhrtipUt ta tiol Iib wbo bclpo mauy wliolcanlo or Icalals 
I tlia nnroitniutai dolujc bla way, bnt ralluir tlic one wbo kimlly hrlpa wfaoa 
1 1'. ' t mill wiibiiot pmdiuiou of self gwitly lifta Ibo Frilon' onl of tlio rot 
fj. '*A frieiMl In nend la ■ fri«nd iiiilml," InipIlM tliut ll>o pioprr aid is 

ju-i ut tilt) tiniB nHiBirvd, not bcforo. UvuioiMlmtioiia tbureforo aboold be 
MiDul ao<l M|H>ii Itio iTodavor, nut a lucm rtvital of fiKla. ('Ism driiiunhlrnliou* 

aliii !>' fill a rnplil r^^mtf t« Iba iiions adviin«d alndtrtit, bnt lb* 

ill li« anlxl-liiity lo Uio drmunnlratiou of ■Iniclure. Aci idool 
Itiud p' "^ to KiiiciiirncD BiM'b aludnut to ciircfiilly prepare and pre- 

>r bl* I ■ ■ M IIiiiTnliy woold b« u«<|nln<il « aliiuulna to mure careful 
■ iirfc, and iliiii ni iiii' inuii of ilnuim^iliiilliiii oncli would bav« lo bla bnnda a diatoo- 
iliNi n|ii>ii wblt'lt til follow tbn rii|i1iiiiatli>B uf III" laituber. 
I hitv* apoknii fit llii> riupbusLt Iniil iipun iliif uMiioinitloii aflvir tlio liiclnra conreo. 
M In Oiilr ■ n>i>aua to an end, but to Ibo umjoiity II b tba uttimit nalt, II 
i ho tkt bolliT to osBct un I'to mi nation u^hiU eaub UiMooilou uid ut tbo end of 
^^Mi»o a llnalKy iipini tli« caiUtur. 
B. El. 30 73 



1154 



PAN-AMERICAN MEDICAL COKOSESS. 



I hnvo itlniadj- diMlaimed •Df inti'ntiun or detncUug oii» lots troiu Ibi 
InottirM, but tmlljr how oppoi-tiin« if the pbouognipli ootilil he ulili»d fcit lfai« fttr- 
piiM. Ifi't tlio mod *blo and ncieiitJAii of tliis sciciet;r wiito out n Bctioi of Ifctiittw 
vrliicli ruiild bo sp<ik«n into tho inttrnmitiit bj tlio moitt otoiiumc mrnilicT, Tbvii a 
tyfo coiilil tiini tliv rmiik niid dnllrnr to n >lRli;ihlcd nniliciico tlio moot iiprf«ol nf 
ruuncs mid tb«ai> cuiilil hi^ mill tlpl led iDilR^tiitvtj no tlml t^cii tnodlcnt "(-ln'ol i>»alil 
liD iiappli«d ou d^rnHfiil, n'hll« tliarrby ro'ild tm mxiiumI thnt iiulfuniiity of iioniw- 
ulatiiru itliifli liua liurwiMAd tliD iiiiudR mid Iicirl* of our muiiilicnt for u coiuidentiki 

MUOO. 

1'lirVD ia »ue oILur puint I wiMh to loiicb ujtou. ( 1] Tlie nliMDco of ay*l«in»Ui 
r*ct>TtU of niiomiitiiMi and pittlioloi;u'al ti»toii!i wliicb would bi> of extTomo vnlnn If 
[iro(iorly notml, niid tlio wiut« of mnsnillfeiit Btalcrial yniitl}- In nil of Ibn oclioolii 
vbiali could rMdiljr bn iitiliiod for loiciitidc pnrpotca. Tliitik yoa b dltiwntlB^ 
rooni ia only to study nnntoniy t 'I'hnre la k wonltli of patboloKy, n rldiiiou of 
•■iiKJcal kDOwIed|;D, a trciMnm of medical atory, a iiiiii* of annninloux lolalloM, 511 
IfotiB, burn«d,ar biiriod. Lik* tbo eHrlr niliivT of Iho Wtat. in our )ia«t« Hid with 
nnt oAreleM or erudo methods, vexivaTlooli tli* vnry |;i>ld no fain wonld giMp. uid 
Komn mote cuKful worker will eiirlrh hltiixdf and bis rn«e from tbe wk>l« whicb 
WD thiow away. I liuvo pndaavoTDd to point otil eotne of Ui« moM glaring defecta 
In tbo anatomical room wbicb atand iu th(> wB<r of its impruveiuenl. 

(t) It Is aobOTdinated to tbeloeture ni^lbod wliiob, ri^litly, abould bo lubordinala 
to it. 

<3) It ia too ofton tv]ialaif o and tnaccoulble. 

(3) It U not uianagtd wltb preoialon Uiitl find in ntlifir depart nipiita. 

(4) Tbo tenebiug facilities are rarely wlut tboy slioiild bu, and aliould be suppl 
moutcd by all extensive mtl4•^ulu, rtiady of nrcess uudvr propor togvlationa to tbi 
aladent, trbo ibould Ih.> Hlluuvd to buiidlu tbe sjieDimeiia blmaolf. 

(9) Tbo tciicbiDgabould b« punoual uud ileuionsiralive ratli«r than didactic. 

(4) Tho tot sboiild bo one of [irauticiU Ituowludge of tbo oadavw, rntber Iban 
merely tlieorvtlonl data, 

<7) A proper record of all aiioiiiallM aud ]>aibot(i^lcal iMlona found i>b>iiil4 ba 
kept, and Ibo invniiiaMo niiv(iiiii(<iis tuldnl to tlie tMubiug lificililivs of Ibu vnrioiia 
drparlniuiU of tbe sriiool. 



'M 




THE HUMAN HAND, 
BrOBIUaS WtLLlAU VfZAR. U. D., of WMhlniton. D. 0. 

Tbe bnman bcdy la en* of tbe moat worthy objects of man'* atiKly. Tl la tbe 
Itobloit a* well as Ibv uruwniiii; work orercaUoa, In il luntctial oiganlialiofi b 
narrlcd to (be d-rvatuftt pvrfrctiuu. Tbcrc U no part of tlic liiiniau body wbicli it 
mure slpilflcant in ita uctioas. irliich ii more cbarnrlerlitlc 111 ita roriiiution tban 
tlie baud. Oiwi nf tbo llr«t potiil* wblcb olilnido tbniiutolvee tipuu tbo itiideiit 
anatomy Is Ibc abiolnto pcrfi-ction of tlie buiuau hniid as ropiriU il« iswiitrm^tle 
AUd tho U'ee to wblc^b it U aiIapI<Hl. Ia uo otiiet cofiibiunliuu of bonee, mnscle«|j 
aiid nerTe*,&nd in no otlior niiitiml do we Itiid a i>i>ifevtiuii nbicb rrmilia tn Mieb] 
anperlorily wilh ipgaid lo HtTHUt-tb, rariely, extvul, and rniiidity of moMon; and ' 
Ibi* porfmtlon ondoabtedly runltttis Horn tho latimato relatione wbich exist 
iietwccD Ibc Itsnd and tliu inti'ttect, we arc irroilntibly In auk witb tiir Cbartee BpII: 
"la It nolbiiiclo lisTooar miodaawakenrd to tliepormptlonof tItenumetotiapTiMifii 
of ilotii^ii whli-b pmonl tbomwlvca in tlie study of tbe band, to be brought to tb«j 
oonrletlnu tliat OTorytblng In Ite slnictare la orderly and ey«teinalir, and that tlu 
Woet porfoct tii«c|innl<ID. Il>r inmit nilimli and railuiiH apiiaialiiB, iiixl MiiislblllUe 
■he must ildlirsle and appiuprlnte. am all coiubiiifd in uperatiou that we ma; biot 
aoUauUr 



Pak-auekicat 



VGRB8A. 



1155 






ABlialro TdRinik*; "Lot ui. Ilini M'rnliiii7«lhiN iniiinbur of the iMiiljr ao^l in<iriif«, 

Mil ilrii|>ly wlftlivr It Ic In lt*(1f unoriil Tor iilt tlie puriwvHi uf life, iiutl «i)»plnil lo 

Ml anliiinl bitil<iii>il will) tlio lilj(h»hl lllti>lhx<'n'''i t>ot wlii'Dii.-r I la enUrv KtriintDn 1l* 

ni>l (Urh ilmt it vuiUi not bu itiiiiioveil l>f .iiiy rvtii'iilTabl« iiltotnllon." Tli« wania 

nl tuia ttto |;ri'atei anil iii«r« vuriu-1 tliHii tliiwo of any uttif'T niilinal; tlinri-foru, Iio 

ihwl K}*tu to liitii nhnt li« nl(>ii« of aniiniilit pa«»M«w. nii<l irlut 14 liiin aluDS U 

Rry, viir, Ibi- hand. Tlic {^uiia bono, or man, takes iiiiili in tli« «laaiiili<salti>ii 

■f BBuuiiaU oa a iliatlnct iMiIitf, Biiiunn, in ci>uM*<|iMtit(-a of niuii IwiiiK tli« oulj niil- 

at powivwinj! two liaikiU. At flmt hIkIiI, it nil{;ht bo cimKidprcii tlint four-liiiiiikd 

'■Alinala, tlia Bi<iuhr>'», «|>n«, anil Ihvh alUn* n'Llch nro pl»<«d li,v laiWoglnU In lli« 

iiMl«r Ijnailrnmaiia. nrroHitiafidf tii lbi<«o whtHi |>»wr<Mi ntily twoliamU, but lliiaia 

bu ^lai Iwing Iku fiuu. N'Diie ot tJicae foot liaiiiU arv atinplMl tti tliti vaiioty uf 

■rll«iia vlilvb tlie liiiniaii bniid it oajiable of jx-rrnrnilng, and tliey am all to aoni* 

dHitrc. t«"|illif>l for "nppoit iiild tueoiiiuCioii; Hilliiit wliitf' in I bo bi^lipr futlnanf tll« 

1^ t|Badriiifiiuia Ibn i-xtTrriiltirii prtaciit uii 3pi>roxliii:itiuU ill attUCtilTu to tbcitc of liinn, 

^bn Ilia hiWDi tlipy K'<"'"''*"y ^'^^ t" ti'i'i'iuUe tlie ordinnry qiindiupoila] \jp», 

^V'*Tlial,"M]r* Ciirinr, "whicb mnhtlliili^a llinbniid, propnrly ao rnlliril, U tlir fui'iilt/ 

^B«>f n|<|»«iiii); tlie lliiiiiib Ici lb* utJiM' flnjErr*. au aa to aclre npoii liiii niimt iiiiunta 

^■hbjvrla, a fiinilty tthk'li Is <«rrl«d to lit hi)(lin*t drsivn nC piirrrctloii iu luaii. in 

«ben tile wbolfl aniptiir vxttMiilty U froo MtA naa h« «iHpl<>X('il iii prrlieiiaioD." 

Til* prr.uliar ptibi'iHilo puweT of tli« liuDiau band in rlii>-lly ilupMi'leiit cpun tbo 
kttgib, (Kiwitr, and nobility ij tbo Ifaamb, wliicli c:id tin biuiislil into exact oppoal- 
Itun It) IbacitrcBiitioiof iill tbe finK«ra wli«tlii>r a^jMrnlcIy or Ki^uprd loicetlivr. 
hoM* aulttiala aJV bulil and fletro, ntbcra ore tiitiiil and ueiillc. (nnio nm icmgarioiia 
■ad o<»''p<TutA fof t1i«lr mutual anateaaiice and dofi'nao; ollmra nrti anlilai^ and 
■rnidtlu' auolcty of Ibflr fiTlloira; but all bava a fnriu or body aoconuiiuiInTcd Iu Ibrlr 
MUial •liii-fiHitloiia and hal>itH. Tbna, tliv Unu bna iHin-tirl'nl fnnx" mid oluwa; lh» 
Ittra liLi •wiJtnaia of foul, but L* ullHirvilM (tefvtiHi'l<4«. And (hi! Illovki nf tlii« 
arraMfvuwDl is obvlunB: bif iIhim< n'viij>oii» wbivb tlic liini ia riirnl«li<id iriib nr« oa 
•]>|ir<'i>(>i<i> I" Ilia nJtiiiu as Ibvy woiild kr iii->[itir»i<r>ati> to tli« (ttiitil Iiiire, wIimu 
mtn 'lilt tinliroly uu Higbt. riMjnirM Ilinl •williivH? of foot for wliirli -lie is 

■It' lint l» luaii, lh<-'>nly iinimal Ihnt parlakua uf divinr mt>-l)li,'rnuw, 

tfct t.'nMtiii lion ){|VM|, Iu tliin nl ernry n\Ui-i niilnnil aciipon or (ir;;ao of <Ii.-fi.'tiM>, 
that iiultitBintil, Uio lianil. an liulriiniriit ikp|ilinnl>lt> to evRry art iiiid iKi-naiua m 
wall uf |Mae» OH of nai. Xlno, tbor>-r<ii«, wniila not a boiiror a burn or iiny nlliM* 
balunl vaai>oM, laaamuub a* bo Is abin with hia biuid to |!r:uip a luniih lucito plIViiU 
Ire weapun, Ibo award or Ibe apvuri (in a swuid or u javelin are bctlor iitma tbuii 
lb* naiU. Kinl nut mid pi«r<:e maron.-n4lily. Ikaidna wtiivb, natural wnaponai-aii be 
Maploynl cialr In <iI«m (vmlliut, wlille aaona <if tlie wonpoii* emplnypil by niiin, aiieb 
ma lavvliiia (ir amwa, am rvm miira elfnetiva at a dlaluneit. IIk la oaablnl more 
•aall/ by IbU lualriinimt t^i elotbo faimivlf with nmiur uf vatluna hiiida or to 

ilnlirmib blmanlf wllbin eompa or friiR'd rilloa, wbrrfM ni^n lii» bnnda «iioniubi<ml 
mill an.i iialiirni armor, bo wonld lie nnnbto ionii|il<>y tlinn fur llio fiibrinititin of 
Ihinn iiiaitnnienla nii'1 inoaDt wlil«b glre bin «ich a daddftd advantnge «ver all tli* 
Dilici aiilmala of npaiiun. 
With 111* band HO KoaTa tbo Kurtoi-iila wliicb prolp'l lu IVi>ni Iinat nnil mild in 
luBinvT and ninlor, aadnnialiiict tbn ni'la and aniiro* wilU whinh we sabjni-ate tli« 
binio >'r*-Jtli9n. With tbn hand ir« fiuhU'ii all the l(u|i]eiiieiit«of art and ai'lfinro, 
■sd, l^«ll>-. by iiKtaat of tlin Iianil tiiiiii br>|iiiinlU« (o piMt«rlly In wrlliut- Ibo inti'l* 
lartnnl iKnaiiri'* of bti own (liciiiv tuiui^liiiitliiii'. mid Urnrt we whnaro lirins nt 
tbi* day itra ronblatl to bold coiit-i-rae nilb I'tnio and Arislotle niiil nil the reanrablo 
M|{M iif aulbiully. Tlina (be hand keepaoaDdiinlljr before u* Ibu prooEiof lb«*po< 
at MlapllniM of ibn Varlotia partaof the body U> tb* aaM to vbifb Ibc part* are to 
I f «(. "Im iMNii,"**;* I'luf. Owni), ''nhile n«i* p*ir of llinlM li (itpmaly or;;Aa- 
ibt toeoiuoUuu Md ■laudlnjc in the errtl puaitlon, tb* olbor piiir la left free to 




1156 



PAN-AMBRICAM MEDlCkL OOKOUEi^ 





I 

na 
1.1 
or 

. T. 
Til* 



ex««iili- tUo iiiBiiiruhl iMUmtaof hi* ratlanklaad []iv«ii tire wilt, tuid exqni«ilolr orunu- 
inxl for dvliralt) liMtuh Md prvlimialcw. vniplwli rally cnltoil iniiniiiiilitti»a." Thn 
luuid M tuwuUnltj' llfv iifCBii i>r Ibe niiud, Dm iboiIIiiiii of its rxjircwinD, narl tlio 
tlutlTMHioel TrUoniby tlB |>roii>|>lln^ Hra cairUitl lata oxftiitioii. ■■ Wo Itnt m« tli« 
baiid," ■Ufa 9)t rharlea DpII, "Uiinislcting to niui** iW M olllwt aud MinUlnlni! Ilia . 
Ildgur Iho ln<livt<Iitnl; ittatooMiilalnsoof hUprasrcMireMi«ttada|>tr<l to tli« w^iDiaJ 
i>r Mii:l<'t,i'. wli«n Dinii lH-<H>niuit « Idliurvr bdiL an anillrT; iu a kUtc Mill mural 
advniKX'it, arU'iK-n in liintiKlit In aiil of initrhnnirni ingeouilj'.oiMl lbi>etetiipiilsirrUiub1 
•M«D nilvcne to ihp ixxtcrriM of MX'irty lici-uiiw itio bcmis oociduriii)' tii il," Tb« 
M«*, wbkli nl lint Ml Htiilli Iu trnllon* and ([Toupcd mankind into fuioiliiv, htr now, 
Uie RBcana by whiub tbey aiw Maiicliitod. 

Bofom (•uloring furlbrt iiilu (lie drscriiillon of Uiahand. Il la ntcrwwry W Mf i 
fe« ttorda ou tbo upper cxlnniiily e:«ii«nilly. of wbirb tho liatid oRay tw ivjcatded aa 
UM maaillal part. 'Hi* giMiMnl pliiii of tbo vwi-oiis ft-aiiiowork of tbe upper and 
lowartliab* I* vpr^ dniilMr. 'ni« liumoriia, «r arm l-uae, coiTtv|iorMls lo Ibe femur, i>r 
thigh bona; tlMluwcrimdof tltnlintiit'iiiiitiicoiitivrtoil wilb Iba two boitcaof tli« fam-j 
nm, tlM radina and tbo ulua, wUkb ci-rTOApoiiil «itb Ihn (iro bonaa of tbn \*g, tba 
flUia and Bbala. Tbnn ornaa tbo carpal Iioiim, tbo tnatacarjial lionaa, ai>d tba pb»-] 
taiigoe. juat m «» hav» t«r»ii] bom*, rai^t«t»raal bnaoa, and phaUa|[M la tba foot. ' 
It la not nwMmary ii> Mitar lulo any anatomical detail* ni|:anlliig tbe individual 
earpnl botiM. Collcclivfly tli«y arv m arraDg^d that tbo catfitt* preaeiito a dorsal 
convex •urfnce, upun whiih tlie IcndutiB of Ifac exlt'iuor naaelea of iba ftugoia play, 
aiMl m paliuar eoiiravc anrfiice, oa wblcb Ibe tcmluDB of tli« flexor miiMlaa 11*. Ilia 
MWnil bonea arc JoinrJ tn mi* anetbcr. cncb Loni.- htiag uuitod to Uilao or 
atban by a lar|:e extniit of aarfue, and am Rtrdt-d toftuilirt by «tn>ott ll|!Swenlou 
baiidv. Ill* wrlil i* ibni lu iilroiiii iw If bad hiHin cmiitiiii'tnl nf oao wild pleea < 
h«ai«, wbll* th4> aliKliI stidioK muvoaivutii vrhli-h o«rnr belwnn tb« aorcfal honea'^ 
glvo It an flaatkit.v nhJohairvra tu l>o<ak IboRlnwkAtbut rvault fton fnlltt ujioii Utm 
huiA. I'bo ii|>p(irHia*t aarAx^n of Iho Arat raw of eiirpal l>oii«a la convex, and tbin 
MDvex (urf^Mw is rcraifml iot<ia wide «■)>, or Riwkel, furmcil by tbe luwi-r articular 
aurCaoo of Iba radius aud by ■ ligaiiMmt poiuiiiK from Ibat lioue to tbe ulna. Tlwi 
tnrtaMrpal hou«a and the pbalaugM i«c|iiin.' uu ajwcinl dMoHption. Liko tba groal 
toa, tba lb«Hb baa only tiro plialangea. white eaeh of the other dlgJU haa three. 
Tfc* aoapnli^ ot ahouldcr blade, with which tbo principal am bona Briknlatea, i* 
lUalf UMVaUn to a coiisiiU-rable extant oa the anrlace of Ibn rib*, on whlofa it rcsta. 
Ajtalu, UMaaoket in wbiib ihanaarly apliarioal bead of tbo hiunaras, or ami bone. 
Ilea la vary ahallow, not unlike the cup in tbo woll-known toy cup and ball, and (li^^| 
arTaiit(t4nentaof the abouldrr Joint uei'^rallyaniaDcbaa to permit ao errat a rarlotjl^^ 
and ao oxianalve a nuiff* of nuvwikenta ihat wo ate aMn U- ii|i{ily the hand to orery 
p«(t of tbe body. Tbia fr«ail«m of motion ia due ia a great drgtw! !■• tbe clarklea^ 
uv Mtlar boaea, whioh, by auxtying the khoalder bbdea and kM^tinx the tbonlda 
apatt, aJfiird a fixed jwinl for Ibe varion* niuoelea which we atuplay la rantng 
anwv in fnldin); tbam over the cheat in the act uf lincj:liVi "T in tli« altilndn 
play*'- TbeuMreuentor ibeuett jnnctioDof boDoa, thealbuw Joint, are very i 
enlftomtbat at tliealionlder. the latter Ul«nnad,f1romltaouBBtnMTlio(i,nh«lt 
eochat JoUit, and aduillaof iiuilluii lu all dlrectioiia, within dclinile linita, while I 
forwior iaatalngojolitt. niul merely adiuilauf beodiagaiiil alraighlenlag, or, laotberj 
woml*, of UMiUoi) 111 t>u« plaite. 

A AtU oonaiilvrallMi of tbo laiuclca of the hand wonld take too muah time. W4 
■uy (hiuutuiraU upward of Qfly matrln of the arm and band, all of which mu 
vwwcat to the aiinpltal ariiou. tioihing appear* tn im mora eloiple than ralala 
tbeannor poiulinc with lli* finger; ynt. In that almple art, aol only are inaaa 
maaclcapul intoauLi^Uy. and aa maajr throvnonl of action, bat Iwlb Ihatalotl 
and tbe contracting maaolaa an MMlrotlad or ailjuoleil with Ibo utmoal 
thoagh In oppoalte atatM) and aadar una ai't of tuliuou. To Ibe aaalomtcal i 
dent, tbe mod* of danuBMraUag the maac !•« af tho huataa hand and aim heeooMfl 



PAK-AJIBRICAN MEDICAL C0N0BES9. 



U57 



lie (Ml uf Ills mKtlrr't pctrnitloii iM » t/^rlier. Wht^n Ibujr ar« UAtn MirrM8iv«'1y, 
•U u* lJivi( jimNil lltfiiini-'lrei iii tli« niiu, iwlliiii^ r>u be idiith iiiitiit«r<«tin|;, 

illiHia, BUil dlCDcnll Id atl«iiil to Iliikii Midi « dejiwiuki rat iou ; tint whi^ii they ti» 
ijBlchl witli tnrl<l ttrTHiiguRicDt. BCforditig to Ibo inatJanK iHrfaniml by tlie ilUlinet 

nii)Mi>rBiiiii-)vii, it U pokitivdy agfniwblo to liml howniii«li lDt«i«*C tm%s hanlvtB 

I RDhJlMl. 

JnatbcM w« wllliHiBKldprBct>ii*nf iDi»voiBiTDt«of UieforanTmaiiil lianil. t« wbluh 
I la niiUiinic Biiiilo|[nii« (at lra«t to niiy Biiilntial Mit«nl) iu tli« leg. Tbc nova- 
I in qii*a1i«a H« «*ll«d pfuunliun ani) •iipinution. In proniilion (iliirlv«(l from 
*, vrltb Iba hM dotrnwani) «« luni Uie imliu of thv buid (luirottHnl, na in 
log ii|i any atibotniiM) rnnii tlie liiMis in sa pin at ion (HotivMl fiiuii (iiftiitn', villi 
: lare ii|(witr<1) *« luni Ihii (iiilni upward, ax for tba piir^nno of ii'chItIiii; aiiy- 
; lliat inuv tie (•lai'nl In It. Thow ini>v<>iii«i>t«i of proiutlon aiul adpltinll'iii are 
ittaul til Ibu iiarfnlnnv* uf tlxi baml thut it ia ueccMary (■> nulii'H tli« lliieu 
•■H \ij uhl'h tliry nro «bl*'lly proilnctfd. Oav of tb« llii'po miiSFk-a jiaaaaa ttom 
|)f ctiiit; iitiKfus I'll Iba ioiior iiiilti of Ibi* IintnMii*. at ila tunei: Mid, to tbo ontM 
njgoiif Ibn iiilitdleof (l>p rtMliiia. tu contraction ciiiiacilbera(liiiatorDl1ar«r,airla 
nal of. Ihrotuai it Ihaa pniBHtPi lli« baod, auil in railed a pronator niaarlA(jw«- 
' ruiiii Unt), Aiiiitlier imiicln |<ii>uum lymn a projovlliiK prot'oMon tbaoiiloralila 
< biiiarnia la t%o Inner nlee at ilio niliii* nvai lt« nppcr pari. It raot, UimV' 
*, Id an opixiidla iltivrlino (o 1li« fornif^ miiMdv, and proilu(<c<* lui oppe«ll« clTvot, 
illing Ilif^ruili"* and tW bmid I'Arlc iulti tLv ponilion uf Biipiuultun; beiiM, It ia 
a1l4>l a ■iiiiiDnlur mniH'le. Tlie Iblrd ia a Ti'Ty jiuvx'rriit mnHvlf, (ntnuil lJi« bio>i|>Ki 
(birb u"l "fily buiida lb(> vll'ow, liiil from the londe Ju irbioK ita t«i<)oii i* inncrteit 
I tbv Iniini •iitr uf lhi> ridinH. iilxri rolaln tlie rndiiu so cu to tapinntv the luiud, 
h1 It itlvM uri'iit poirer to Ibiit iiiori^ini-ot. Merbaiilidniiii liaTc ubnervtd tliaC tliej 
I ii>>ir« pi-wer I" •iipjiiitin Ibu It.ind Uinn to |>rniiali) iC. Kiipiiinlion ran only bo 
I ti> II* full 'Xlxnl hv iniiu..iii>lavoti in uiitii It I* n"t itir naltiitilorhabitnal 
i; Mnbheta riiii pncliwlly ell'vi't IIm) ■not'viii^til, and iii uiv*! of tliK lower asi> 
jMrt curnia|ioiidlug anutoniically tu th« band ia votuttaiitly iu a atutu of 




'tb«l 



I Movauiriita of wbii'li Ibi' bnnd llwlf, wiiboiil refvivnco tolliL> arm, iainpalitn, 
i*>rf nutiixroiH, aiMl in IbU miicrt diiTi-r i^iuniderithly from tbc cortieH|toiiillng 
lirteiDonta »f Ibe fool. 11iii» Ibn UniiTa run l>« hmt ilnwo iipiia tli4 pitlnia or thejr 
I Im i'iIi^iiIjhI iwyonil tbe •Iraii.'lil llrin; llipy r^n 1i« Mpnratnl fimn onaanolbNto 
a r'latld'-rai'le exieiil, mid tWy i<nti tm climnd wllb f^naldelnbln furro, Tbo wrixl 
■imI IiiiiUii an> Iwiil I'-rwuril. or lloxnl, npvii llto for'-ariii by tbrca inti«vl<i« «bkrbp.iiB 
it<i*i9«nid fh'iii l1>u iiiiier (iiiiilj|f> of Itiu hiiint'rns, ami are teniinl tbo tiidial flpiirr, 
Um n' '.mul lb*- lun^ pibimr iikiiwIm. The lint tHouf (liMe niniHilM arv 

llHcii '!•' vrliil Imiii««oii ilinradinl anil ulimiiitvii, rfHjivolively, wblloIbeUiltd 

Ju iiitii a r*iilike fiisria. »i »iriiil>iiiiii>. in the jiiilin of Ibu band, and (hiiK unrvH 
fill an|>[>-iTt tbr »hin »f iIhi p.ilni iiit'l li> prolri'l (b« nnrvfa and rManU n-birb lie 
iw II. Iti-nnilb lUi* |i.ili'>nt fau l:i llo LuomiU of lloxor mnai'leanr IIm- floKen^ 
I tliit> pnwiil •■> tir till I If 111 n nio-baiiiial iitTai>|*i'iDoat «• to nierll R|>rrlal notice. 
ll|wTArlil lit |Mii l.iriilad llniiit iioix-'lojinMmi down Iba front of Iba forrdrni aud 
I InUi fi>nr tPinlnii*, wbiib limimi'* np|>areiilafti-r icmovinglbn |>a)iUBt fani'la, 
I ora Inairlnd InIo the ■ei'iind pbnUuttra of lb" lli<t;i-Tt, cacb t«iidon Hplilllii); nt 
tanniiutl'iB, loi^vo piwuiua to Uie ainillar fmlona of lli« deep or perroraiiiij^ 
lur naiMrU, wblrb p&iaM from (bv appiTf (lurl of ibn ulna to ba luutrt**! into Iba 
I pbalaiix ■•( eutb flnjcer. Tbnw Hvtur imiclra am nnln|ionli«l by Ibo onininmi 
tiMMur ninw-Io n( Ibn Itiisora, wblxb, liho t]iB tluota, dlvid«a into four t«»diiiia, 
'ir»i-lt titigrt. tlMi<l<-* tli4H», Ibure ta a opeoial oilniuorof tb« Jailox lliif-or, B 
)t>f Biiiiu'li* fomdoK lira ImU of llio Ibnaib, wbieb move lliat organ In alBinat 
' dliacUun, BBil vaiioiM *niall xlliia glvluj lateral bbiI oUior BiavonenU to lh« 



PAX-AMERICAH MEDICAL CONGRESS. 







1158 



Tlir Iinntl Miiitains tiro priDcipal artvries, tU« raflinl niid tli« olniir. Tli« 
proromU in & ciin'a from the wt»t to Ibo ftnt flagor wUcro it JnJiu n I'rnndi of tUo 
nuliiil, fomiitiit wlist U ktiQirii lu thi- aajieificttil pftlmnr arrb. Four diijiMl nrU'rira 
([olYiKn iucoinoxtcy, irhichciMiviile intoeolIiilcrnlbrAiirlKui about twnlinNliolmv 
tlin ■nnt'ii'iirpo-|ili>tnt>Ki'nl mdriilntaoii*. TIipho mijiply tlio paliimr nnil lalornl mit^ 
r4cc>-orili»niiui<iH.it)«yiptiuK llictUtinibaiKl thooiitdTRi'kofthofmlrx. tlin lir.ini'li 
iHiutpsciiiK Hi 111" dp* <if t)is nnicer*. whmtjo kmiioliiM ariso t4> »up]>ly 111? pnlp 
tliH liii;,-«T« witli Mouil. Tb« ntiliivl gnrt ttoiu Ibo cud of Iho furiuitni (radian) niniiil 
tlic wiiit, bi'twroii Uie tliuiiibautl iiiilci Snj^r. Ami boolc iuto tbu palm, wbeiViJoiuiiii: 
(be iihiur, it furmi wlinl in knuwii as tlie >trpp palmar nrob. Defute, Iioirev«r, it ilnea 
ibU. it iiiy«a o6F two arteriM, mi« of <rbi«b (tlie tup«rfiriiili* volm} BUpplUn tlx- pnlui, 
wliilit tbe otIicT (lividi'i into two brancba* (tbo arl«rla ddrmfet pollMi) wbicli ran 
alonjt <iithnr Dido of tlie Ibumb, «Da of wbiok branchi^* uiida olT bd nttery to tlio 
liiilcx fln|[Rr. V^'bl'n therailiiil ilip* into Ibepolm II KlveanflT brnnclip* I« tUo tLninb 
■ml rorrllii];)^ ot iiidox. nnil t» tlie di-np pnlm (wboro It Join* tW ulnar). Tbo voini, 
wlilfti art fcciMirully rrry ilmp, lU'i^ninpniiy tli* niU'rlo*. 

'riio mniil linirorlnni rnililcct fnr oiir vimHhlrrallou U tliat of Iliu tiorviiu* Sfstoin 
till' Itnnil, of tllAt rum (ill I'll I I'll pIrKil* of »«lrn whiob glvM lu tlie li:ilul iU <li 
anil (ion K I II lit I y iippuroiit rotiiir''ti(ii) witli tli« lirain. Wilbout tlic liiiiiil, priiirS- 
pill scut aH it ii ><f the sftiai.' of tnuiih. the otbat hoiisob would be ci>iii|>sriitiv«ly 
iiii-liuK. Tlie Kiisi* of tuiK'b it tlir only sbiido wbich Iti ii>v}[ir>ii:ii]. That i", tli»ii|;1i 
tlxn (PDHi'a iif ■i)'bt. bt^viiij*. tiiHtf. aui) imiell, ran only r«[?«ivi! iiiipivnti<iiiii itithoiit 
l^vliiK Iboui. tbut of loiioh, liotb in^nivM and sli mi niid it ii Ibia ■viiso of (uiii-b, 
drp'n<lont na it in iipoii tbn ncrvoiia ayalcni, whii-U in Ibo iiiuit iiiiporliinl of nil, unil 
wlikb !■ found in ita bigli«<t atuU' of dcvi!loi»iicDt wbnro tbut uorvona ayalcni ia 
Ibu ninut coinplBlo. namuly, iu tlio hand. 

All II friim Illation of fat luid flbrooa liaaiia iindvr Ibc akin foima Iho "iHilpa" nt Ihn 
did* of tho dtij(or*. I'li4> altKhtly oiiirni form auit rxi|iiUito ■orini'ici nf tbo piilpa 
ailaptd tlinii wvll fur Ibi'nimMliialioii ort1iea'iTfiii-e«iirbodl«a; and IhctMiHrof tomb 
U iiioto al'ut(^ in tli«iu limn in uiIkt purlHorib^ ti»iid. In c»i>iii>i'lion nilb tlMDi It 
Inlotvatinj; lnoliHrfvi- th»l tbi< lii>t bund of vu<')i tinucrnud i>f Ili« ibiiiiib awntis out 
tbn end into a uudutiilfil lump, wliivh Mivca Ibn piirpiwu bolb of ■ii)i)'nrliit); 
]>iilp and of Kivin^ Tirpuitib to llin nail. Tliu cuticle in th» mi-diiini tbiunj^li wliiuh 
lb' AitiTmal inipri-uiot) ia winroyMl to llic ticrvi-n of limi'k. Tho exlnauilira uf II 
IliiUiTH rxbtliit itll tlio pr»vi(ioiia fiir the vinrriai! of IhU >cii*c. Tlin nnila xivo i 
pntt til Ibi' Dnp'ra: tbny Dfii lliiiilit broiut mid ihleldlltco, in nfilnl to aoatala 
•laalii- rtii-blon wbicli fixmii tlinir PXtrMnlty. lliia in-ililiin nn lli« Mid of (li« flu 
iBu very linpoitfint puTt uf lli<i rxlfii-n »]ii>»niiii*. it* fiilliiMaaiKl claxtirily ada; 
iii{> it mini iiii Illy for touch. ¥ta« ■■ tho "«■><•■> of tiiiicb uanally is in Ibu band 
ItHi-iHiia (ar ini'ie bo when iin nnittnal di'iniind is niinlv ii]win il in ouaaMiutneo 
dHlriviioy or nbH'uca of olbur mmMi*. Tliir mpidiiy with which blind pcnoiia 
rand with lli«iT nii>;rTa ia truly iulnninbinf;. Jtunii- ui« anld to diatinLidch euton 
tbo feet. II abonlil ratli«t be aajd thiit tlii>y am tiipablv of ncojiiiiiini; Ibo u! 
dlffrroncoa In certain niibilnncca by wbicIi niloni nm cniuoil; for onn can hunrei 
<><iai<vivc It poMlhlo to dinltnjiuijib Uy ftwhni tbo colota In a ray of IlKht a«pimi 
by n |)ri>iin. 

Il wivt aaidof » luity vbuhnd bi<i'nnotiinl> Miml bnt ileiifundilninb from iiifait 

'■Tbo Bciiac nf touch iraa, thcivf >o, iiliiiM*t her mily uvMitin fur imprMuinii* fi 

wlllHiitl, nnil it wiiB HTirpHniii); bow a li informiklioti wiia Miavi-ycil ibronsh U, 

hour i|nkkly It ciialiloil hi^t to tiuld coiitumc with lici rrlulivoa, by tlio h>n;c" 
nf tbo llniii'ia, iilni<«t ai fTcuJy niid at brinkly m nlbcni did irllti Iho tonguo. A 
tonthva w«to mtUlcUnt to ltiii»mit a nilni of lbnn|[)ita. Af<<^t otio ofaako of 
hand of ft amnKprabo would Inimr'llnli-ly in'ouuirr hint on iiiM<Uni; him a|;aiii." 

Poraoiia wbi> havo bad mU'-b nxpi'ilinco In ihx Inn It act ion of tlio il<>af aod du 
Hud that thaband, by monnaof w(>trii;;iiiiil "■liirly1ulo^y,"orlh*< language uf Qngur 
aigua, ia abuudantlr atinolout fur all tbo intctuuiiiao to which a d««f-i)iala ia a^iudj 



aw j 

II t^^ 



iKa 



PAU-AMERirAS MEDlCAt, CONQBES8. 



11f>9 



FmiuI Uirf Kt«. lltKrofiini, illoiiiMeil to tliaeonrnge 1U« traobins of iifUcnlntlon. Tbo 

I t-ainrtljr, tbrrururr, which llio limnil eivjoyi of unnrtiiiniaK l^o dUlaucn, Clio fiifi, tbo 

> welglit. Ihn fi>nn, IIm lianliim* or MiflnaiH. Ili« toiiulmcu or ■UDalbanNi of nhjdrU, 
■IM Itota \t» lirkiiiii;a rampoiiiii) fiiaclioii, fWim Ihn 4>>iiilbl11t]raf (b» proixtr nT^an 

' af Un«h, lialnfi •^xntiiiioil wrtb llto DnDiicjnaaiMuanriliA niollcin nrilioriii, biiTiil.iinil 
Alitor*. Rut It Ik tbir iiKition of th« Unfcen that it Mperiiill)- itMMMiy to the musd 

' iiftourh, ThrM> l>«iid ot nxtrn'l, or nxpaiwl or Dioir« in evi-iy ilirortiou, likv finliin, 
wllL Ibn ailVBDtagsaf ftinbrtKilliK tbo objevt, recliiig it on nil its •mrl'nrm, (fHtiuintiii;; 
lt« tolidltr "■' 't* Tflbbl*»c« wii^u gr&apral, inovius miiiKl it. iitiit (-liiliii); over il« 

IMtrfsMB, Ml Ml la font eveiy MHperity niiil )io uiisiblv uf orery ulii^t vibration. 

WbylSBiAn Miially liKlil-bnndFitf Mnny iittcni|>la bavo fapen iiudo to nniirtir 

' tUa iiMMtfoii. In tiM avporiorily of tbo riglit lutud rcnl nail natarnl, tbnt i«, coii- 
mnllttl. or ia it mcfelr nM|tiimlt All non arc not TlgbUhiiiideil; ■onio aro I«fl- 
b'a<)*'l t ■ixl ■oMo aro nmbiilrxlroiia. In Ih(> tiilm of llitnjnmiii "thoto wvro •oven 
liuailml ibiMtrn mho tnfl'liauiloil; *vvty nao couM itliiix rIoikvi >t an halt br«ailtU 
•nd not oiIm,'' (.luilKra it, IB.) Wb*n tluvIO wim ui ^ClkU^ tliero vamo la biia » 
•MiipMiy of siati wlwi " wan iniml with bows oinl nunlil iiao both tb« rigbl biitid 
an4 llM IpH in biitllnx »1o»m ■>(! ftbiioting arrowa uul of a bow." (1 ('bioiiicle*, 
iii.2. ) TImm Id an univcraiil coiiscol umuu); all iintioaa to giTc tlio iiiufvrniro to tbo 

tfiBhl lianrl ovnr the Ufl. This can not bo » runvciilioiial n);'**''"rul ; it inuit hnro 
a nalnral wiitrpe. Far the fonvenU'tice of lire, iinil to iiuiko nx piuDipt bdiI <lrx- 
IrJiHIit, It ia jiti'lty oviilrni thnl Iborti inl|;ht to be UO bcaiditinn nbirli buit'l nboutd 
Ihi •lard, or nbirb r<M>t kboiild bn put rornari); nnr in tbi-re, iu I'act, any mivb iailo- 
tUtoii. ]■ ihia tiinilliii-M tnuuht, or I* II uivcn Ion* by iiiittii«r It ii anKBrwinil 
Ikat If tlio liiibt ililo werK orslHBlly IIm> iiioit poirnTfiil In innn, ir(> ml)(bt pxpact to 
flnil II l(ii< *>i»n <n oilirr aulinala. It i* iilfirincil thai I'liilrrFla. ni<>ii1«>y>. and par> 
iota faad tbcni'nl'M with tbo )«ft Ufg ralbnr tb;>n willi (li>i ricbt. Itnt thu iMirrot 
Dwf Im said t(i (Inn tlia tlronj^t foot where moot 8tri'ii):lh i* ro<|iiireil; tliitt ia ia 
(ra»l-lut tlir pnrrb and Mlniidtnic, not lit fpoding Itiielf. It ■iiiihC he ohMivcil nl tiia 
■MDo llua Ibiit tbxio it a dtsliiirlinn in tbe whub> rifibt hIiIo <>f the body na well lut 
I Ip lita atw, nml tbnl the lefl aldo U not only Ibu wviikvr iu regard to luiiaciiliir 
[•tr*«c<h liBl »liu la iu> vitnl or eanititntiaaal prut>ettiua. 

Til* •l«ve|o|>iuriit i>r llio orc>i» of action and tnolion la Rrnnttwl upon tho rlnUt 

I abU. u iHiiy nl an^ tltun l>n aarortaloixl by mmanii-ini'nl or th'' loalftiioiiy nrthutuUor 

I or *lHH<iiiak''r (Vrlainty Ibi* aniierlDTlty niny Im >A^tl (u iniulc Irnm the iiinro fra- 

|i|Ui>t nxerlioA of tliln Hi>l«; but the |t«r>iliitttty extend" l<> tbe i-niialRiitloniiloo; and 

ItltMHian allni-ka the Ivft Gxtrcitiiiiea inoro rtritni-nlly Iban Ihn riglit. In wulkin<{ 

[ li«hlnd n timon il i* aoldmn that wo w« an L>i|«iilizrd iiKitioii of Ibu body ; and if wo 

I loiik til 111' left foot, we ahall liiul that Ibe lri<n-l it nut to tiriii njion it. thai the toe 

la Mil aii ii<ii<h tiirii*il iitil, and Iliat u greatpi piiib ii made with llieri);ht fiiot. Tlio 

I liArviiuD {iiiiH till Irtl foot In thr Hlirtiip iitid niiiings from the ri;:bt. W» Ihiiik w* 

I may ■'onrlndn tbnt tbe niliiittatioii of Ibu form of cviTylbiii;; in the ronvMiianoni of 

I life 111 Ibf rli(bl build, a* for cxitinide, tbe ilirenlion of tlK- moiin of thn amw, or ol 

[tlM OBliinic Kiid of tbn aiixer. or Ibc aliniKi of other touU or iimtniuivTita, ix not aibi. 

irarj'. bat la mlolnl In a nalnral radowioont of Ibn body. On Ibc wbole, Iko pref- 

•r>iir«»rilM> ri)Ebt hand 1* not tbn effect of babit, bat la o niitnral |>roviiiion, aitil ia 

iMattiard f'lf • v«ry ohvlotia |mr|vnMi; Ibn prefvreiico fa givMi to tbo right foot •■ 

««ll aa to tbn rigbt band. 



DISCUSSION. 

Dr. LHinb 4«lil ihat tbc |[<inntat o|ilitlon aeMiia l» be Ibat lh« left side of tbe brain 
laplNMra l» ba Iirlter >u|>|d|i'd witb bloa4l aa it r«inH>i|iiviic# of the atraagaaiaiit of 
I liranchlii); '•( "i' <>''^li <'f Ihaantto. Aa a cnoac<|iiencc u( tliis f;runler 4avalopfD<1it 
Ik* left aide of til* bmln, we liavo tbi> Riraltt devclo|>iiient und luo of tho rliibt 
r axlniBllr. It may be well tu ovili-u In Ibu conneotion tbe Taut tkat la vvrj 



1160 



PAN-AMEBICAN MEDICAL CONOBESS. 



^UUtfcaHa tb«r« arc «J|tlit cokIaI cnrlilNKm r<Hiti«rlin|; iritti tlin •U-nillui mi tfco 
right aide, Bivinit, lli<;rwrorr. a KKnli-r suppoii |« tiu> rlnbi ii)iiii-r exiiytiillr. 

Dr. I.ainb hiu rocnotlf iiiniio a pMI-luortsin uxaiiiiDulIuu of > muaiiiu urlio was 

left IiiiiiImI, anil limn wM^clgbt ritr lltagiii i»i tliaCkidrcoiiiKclvil nitti tli«slernain. 

Dr. Kujbutti trlaloil Ibnt lii nil proldabiliiir Ibo Uri^vr Mipjily o( liliioil ),'>>'cti (o the 

jiglti iipi»«r oxtmniij' will Mroouiiifui ila|n'cai<.Ti1«v«lo|>iui<Dt. TliesTi-'"l<lilBciiHir 

ill tliin matter u Ui« iruutof U'xt-buuliii ou iiiiMoiuy wtittcii ftmii llio aUiiilpnint of 

. Btiulying liDmau miatuoiy uc ILoOevclapnii'til. fh>iii tbo Iiiiiniio bruin; but it vrillbo 

' lloue noon by BuiniM>uf, unil llio biii>k niil rcmlor lii* nomo imnwirliil. 

Dr. lUker tL'iu[irUi-il tbit tile ilrxlrst prorcreuce liuil liwii vnil(ia>lf i^xplnliiml a» 
duo tolbc iiokiliiiu of tbo fintui ill iitorn, llin poniliou i>l llin trmi*]* on tlin kti'U of 
llin ikotl.i nltonrliiE n gttatei ■njiplj" of litooil ti> uaa niiln iiT llio bnklii llinti to Ibn 
ol.birr, «t('. 'I'tiii uiiwt I'lniiiililo tbiwry t-lmt li;u li«cfi iit);v<l u^iiis (■> In- llint it fM 
d«rtv«sl from tli« iici'iriu-ily wliicli jitiiiiitiru uiuu fuuiul to prutnul htit l*n siiie. Tbe 
left mm bvcniiiea tb« aliivM or ili-fuiiHive arm, tli« riglil tilt* apcor or uffeiisiTe atni. 
ThI* tiocNHily, cuatiuuod tliraugli cMintloui g«iu«talioiil, baa oauiuul tb« diffnroit- 
llatioii. 
Dr. L. 8. Pikb«r. Urooklyti, K. V., anld: 

Tbn Cliair miiiarkcd that bo bail liopoil to li«ar ■mmi' mfrrroro on tfao part of tlui 

[ •mln«nt niembnrii of tbn «crLii>n upon Ibn inlnllonoor tho >letrl»]iiiiviil ol tlio i^nrobnl 

[n«i(«r» wliUb KOKTn tlia a<:tJnii« nf tli<> huud la Ilia <|iiniii"ii nf ilcxlral pri>f«nnce, 

f It aw mvil t>> btm tlmt In tbn Iawh of ror«bi»l ilcvrtupmnit vra" lo bi^ ruanil tb<< 

i explttiiatiiiii of tbi* pli«ii«moiion. Ho did iiiit tlmik iliriu w:w iiiiy «iib»taaiial 

' differuDPo hi tbc iiiitHll«n of tli« twoalilM of tbi> bniiii, iliic tii tliutlitjbtdiflWi-ni'vo 

nliicb mumtumiiciil* bitd eliuwa li> axUt in (lio rvsprrlivu <-ii|>uvitim uf tli« bloiHl 

vcMrl* on Ih^ two oiilm of lli« uifik Ibut Iiunmuitliil tiluriil lu tliv ccidbriiiu ; tli« 

ftmloni n( niiattoiiiOaia tbat ei^ixtuil njlbiil Ibi- rruDinl \>vx Iutiiii-i1 Ibu iiuifortil ittf- 

f<liil<iii of tli^ b)u(>d ttiiit mis bioiif-bt 1« lliv bruin. Nt-veilbi-l>'>i>. )ie believed Ibnt 

ail ctirlin or mom comptEt* dordopiiient of tbu vrnturs io tbi.' li'lt bmhi oo-iuiimmhI 

tbv niura iivrfcot and coaalant iiao of the rigbt iippi^r oxlri'iiillf in llm varloanalTairit 

of life. Tito rt<ll«ix olTcot nf Hiicb pri-piuiitmitliii; mii*i'ubir w<rik iifioti tlin fiirlbor 

dovG)»piiii'ot of lb« iiorv<>-(;»iit«ra tliat coiilrolloil llieiii vuh a wrll recoKtiirvd faot, 

and froin Ibii bad hi-irn drawn tb« pmrlicial rvcaiiiiiioiKlalioii t<i bc^ilii.ut nn cmIj 

dat«, to ovrrciM* lbi> Ivfi aa o'oll ai lli« rii^bt upper ('xlremil]r. bh thut Iba puMibiU- 

tl<» of dUiiaUr ill liklui lif« from piMfliblu d«gc)i«rutiatia o( Iho detrlojwd aJdo nijilit 

1m guarded agaiiul bj the iuur« equal deiclopniiuil of IkiiIi nidM. He invited dla- 

' •tiaalou ell tbi* pbaM of Ibc subject. 



L\\V8 OP TUB OIIOWTH OP THE CEI.I. APPI.IKH "TO HUMAN ANATOMY. 

By HUlSKItr HKVDLItX, A, M^ M. D. 
l^Htar P%9'itiltn*»*0^''«"*'"V^ ''••'**^ "•f'tmmt. Itr^r^ Cmirtrtitv.VMUlffloti. O. 0. 

The kunuiin orum ur «),% froni Kbiob all tbe tiwne* uu<l oiitana of ibo liiinUB bodf 
. on built up, iiiu lli« parliMt ala^eaof Itaeuibryoiiic life iwtbini; niorv xr lens tban a 
aiinplv ecll or tu»ui of prolojilaan, Tlirao miIIh or tniiHiw of |>int»plA>iii ara priuill- 
ealljr idriili'-al in nil ntiitnnlii und foiuinla, nner iiniiregnntiaii, of a rtvinnUlini; Ur- 
ii>i; uiiiiM, w biib liiw> siir round ins it c limited iiipply of food yolk oi uuiiiiiJiuivitt, 
vbli'b borvvH to iioittUb Ibo mii brio nntil otbcratiiieinroii are ilirrHopeil, wlileli oonjr 
oit Ibi' pnK^Mi of iiutilllou durlnj: tli<i entire puriod of fmCAl e\Uteii«T. 

Aa Ibo btllllitll ifvnni in ilirMlly traaifumied during; ils pmenM of drvrlopiBniit iulo 
Ui« biiiuan bod.v. It Is obilou* Ibut tlia b>«« icovntiloK tbi< uivwlb of tli« oviiin 
niUBt furuisb tlia koy (o tliofirowlbof tbobiiiiiati iKiilj'InltsadiiltKTCDiuplrtAdforai. 
Wbat, tlieu, are tlMao lans, or lutiior tlia ranw* or otiadltlotis, wbicb tiiodliy th« 
growili of Ui« oella oowpoaing ibn bodjr t Tbu Unl uf Uicao oundttiou ia that «oU>r 




PAN-AMF.RICAK MEDICAI, CONOHEBJi. 



1161 



^_ orlbi 
^H u-lcr 



wlioi iNHiQg aiul iirowlns. litnivM* lu hIm Iij- Inyenoriinlriniotit dnpiwiled npoa lli« 
■uUr aurfar** of thr mlU, •■}eiuii|iiti>i«a li.va iHinllr eiitii<r«lcnt nmuiiiit of lliewMto , 
ftwUi'ia iif Uivefll, wlil<-li ia aliMrbMl froiu iln itini-i-iiittfacR. Siil>ti)Riuilli«<«iMiimt 
arniilnllvd Rutriiiil i)iT]Hitiilc<l n)iDi> itt (lutrr niirfaceU crtMiIrr (Imii tiMi watto fiMii 
IIm' tniMT ■urlix'i-, ll>i> veil (vutlniK-ii to f,-i""^ niu\ incri'jiMi Iq iJii! iiiilil Ibu (liiio «f 
t»kluril> ii> ri:iw;Iir>l. Al tliin |Kiiiit lli<' forcri of nni^ln .tiiil iImiciii'IIvi- ■mlmllatlon 
Mu JudI )iiilniir>>il liy C)ii> puu-ctsof Ibr. orii'iiUm Umtii-nrli niiil ii*>liiiiUtv ti'ilrliiiMit. 

Attvt lliU (inrluil la mioliiiil llifl liiillvl'tutit i^rlla^.iiiil in i>iitiHOit<>Di'<^' tlio limly lU K 
ttlioliO f-iuiliiuU) ivahC l(> Bloiiib aa<I aiikiiiiilBtv :m iiin-:b of iiiilritive niiitctiikl 0* !• 
nqnln-il to «U|<|<Ir tlii- wniitc, luitl hvuet tli« ri-*iill (if iuPvitaMv ilealli, vhivb i> tlie 
pililrait Inw Ihnt ni|r« tliv urg^mie witttil. lluw, tluiii.iluiw Ibo liiiiuiin lim]}' iim n 
itlititii liTow from ilifuiM'y lu maliirityt TiiTiwIy in (bo same vi«y lu tbc iiiillviiliial 
orlbt nf tlu> lioily ilii. Take, fur iiivinuuu, tlie (I«ve1<>pi«<'iit of ttui aorta, tlio fjvM 
■rU-riat Iniiik of llii> ImiIj'. In Ihi- iniw-hnrn th'iW tlio iiorta U « tolio IIia liiiiirn of 
b will miuiaitra )v(bu|M Uintn-i-iulilkanf «>> inrU nirruu; wbrii tliU »aiuor1iiIU 
ti-ui Iml mliilt lunnliiinil, hia autla it 111 kHvn bi'ciHiie n Kimt tn tin alt l;i«Ii or iiiuro 
''fei AUnirtdr. Tlila li'iimmn lii uliv. It U very cvlilniil, miiut liavn li«m proiliHwil in 
Iko tuaj-BbiiVAilnM llbo'1. All yr«ni jmu i>n niiiitbnrlpo* Inyiirtof iiii^ruArojiiv t«iiliitj: 
hkVv iHfTii )iltfi) it)> ilgiiiii Ita oiitrr ■iirftiro, tliUH tliRtr^'iili; IliO tbirk ■>•-«« iirila irnlU. 
Almit; aiiil »liiiiill»n<'uii'il][ willi Idifi ]iti>r«H« {■on* oil ll>» ali«iJipiiiiti fr'im tlie iunor 
walla of llie waati< tlMiir, Ibiiii iD<-«'a«lii^ lift ■Uiiu'ImIotih IxiTIi t<xli>>iinlly ncd liiti-r- 
Iik1I>. 11114 *ala4> Inw uf Kf°'>'lli '* ap]'lirLtlil» li> tli« dui'vl'iimifMit of tlie jnlcaliiiitl 
fwial wllti Itir <i|i>iiiiit'li mill a'<*iivty <iri:uii«nrili|*i'titii)ii. to tlio i;ivu*tli of Ibc lluvcr- 
laiiiiU uiiil uivtIiiUnry taritit-a uf lioitv, to tlio ^■ruH'tli of (lie sliana uf tlu) Idiik 
uf Iki- o^lniiillii"! uf tlie body, ami. iiiilrwl, ru llivsmu'tb of Ibo lunba in tboir 
ly. Nutoul] ia tliiii Inv »f fp'owlh Iniv of every utfcnii iind alraelarv fuuttil In 
iMilf, btll It iijiiat oa tma wbua Appliwl ta Ibn gtowUi of tba human boijy m » 
Dkalr. 

TVii •aroiiil uf Ibi' raiiif* wbleb iiioiliiy tliosbnp* of tliv IIvIiik rnlUuf tli« body 
la ihnll' talwkiiry ta ieru« lowiirdH tlie*«iirf« of iiiililiiient. I.ivliiii cell* when five 
MiiutllnC In tfae lii(RliU nf the Inidy itrs nlwaj* more or IrHt cSrciiUr lu shapu. A* 
AihimI InuUior patta of tlie l>ud)', tbry aM vcty variable In tlra and fi>riii. Take, tor 
lu*Uii», ll«i rollH in III'' liKiiliiB or tlie bone oclU; tliMS iti-ro ittlj-iually ciri iilar or 
ttvntila) ri''U'. Aa llin imii'i'm of trMUfomaliiia i>f cnrlilagu Itilo iMinc, for itiHIiiu(<r, 
(iH-anii. ll>i-M>Fi'lli urailiially IiMitme inanocd by laytrn of f«rtby matter aurruiiiMlliii 
ibcni.wliirli noiil-l |iii>vi>t>lilieiilmi>Tptt<>iiof tbo|»linliiiiini!i'it>HiiT)*fortlieii nunriali- 
npnt. In nil If I l» iiM'iioinu ibl* diflleiilly tlipnlli in tlirii piucmivt cruntli iili>orb 
Cut I ir.iiif tl;e wiilU liKilonlnetlimi, and IbnR (bi>niytiHdiiDf ruiinliriill, or lino 

|ul-< I < iiRDont tlin lionn c'ltn u itii nncli »l)ii-r, nnil iUc lliivnnlan pnDiiI«:irci 

fiuvivil. 1 tia rjniili>'ii11 tun of nianiT eiitii«ly l-io uiull to ndmlt tlwNiti-jtii'ii of tlie 
ntt or wliili- 'orixi-'ik-t oi tlic btiinil, or kvvu ll>n Llnoil pU'|iic* of Hlx/.Liiiiro, uiid 
tlttttr ntiitiliibiueiii in niiiiiitninvd by tbv 1i-|ii'<l plum;! cf ib« blood. Uttiiy llliutm- 
Uiia> uf tbU niii-oiiil I'iKiM- me to lie found in tbi- liody, It i» only aecoMary hDr« la 
UHiillva tbu rapid n<|>nlr of I'nuiturM of Ibi- loojj; tioii«fl. wlien Ibn frni'tiiro occurs 
Jiial lielun lite puliil wbufe tbo iinlridit artery oatife tli* bone, a* coiii|>eml wLlli 
Ik* alownau iif iv|iitir wli«n II iMcnrHjniil uUico (tliuo partially (-iiltlne off tlie dr- 
nibtlli'U •<■ bliMid IM tlM< |inil). In fiu-t, it !■ iiniverBally adniitltHl tliul ibe uroo'tb 
■mI davalopniitfit wf ev'^ry itniiui aud limiie in tli« body ia direuUy pT<>|iurliotiml to 
tba ■tiiHiiiit III ll« IiIimmI iiap|dy. 

Tlie tMr<lr*nMi uii»lil>lu|) Ibo form of tlioeallaof tbabcly ia tliat Mob Mill uul 
lliii liwly a* a H Iioti- ti-od tu rfprodut-i'. iinilei rkvoorable ootiuitiona. tba wimo type of 
Iba jKirrnt I'rlt fi<>iii wfairb II ■firjiitj;. Iloue tonil* to r«i>rwl<Ke buoa. Uiiaala rajito- 
iliwm miiki'li', anil mi, iii llkr inntiiH% do nil Ibp Uoanna ai,d or^na of IIm bixly. 

lu piilbiili>i;lr |-ii>vtlb« no 'lo llnd jllrn luid foroliin tlmiiiea in tbe disuoKoil par- 
ol tba bmly. hour, fur iii->1an<«, la often found in opidvmold oyata, auil la 
ttt tba b«d]r wblcb lu boallb are (ompoaod of mUUga and niiMla. 




I1C2 



PAS-AMERICArJ MEOrCAL POXGRRM. 



Oii« ianfiATtniit fjif t. btwarnr, !• to bo nolM In MmlyliiK tlin coimlllnniiU of piatho- 

^lagic KTontbn, nixl tli«C !* thnt nil ;>ikl1i<)li>i:ic KTowtli^ arc hlitoloEirnlly triia lo tbo 
I or tiuiinii t[Aii4'n>lnil liy tl'i la,M>r iif 111? rjiil>T('o from which Ibny iT«r* <irlg(- 
Dfllly rnriuorl. Ax I* vnll kiiiiu-o (h« hiiiii.in enilirjo imiiinril; rilviilm iiilii twu 
ijtn, UiTi oct(Hl«rni i>r vpiMuhi nml ttio piidoilcrm ■•! bi-tiiililBot. A thlnl Uycr !■ 
itrnnl* d«vel«ped 1>etwei>ii tlicoo nhjnh in oallvil lliv Ri«itiirlrTiii or niMOliUtt, 
rUdUM, tburolorfl, nblrk '■rij;iiiHll)r >ii>rKax from tliu lirHt two ptiinnry l*yen of Ihf 
erahlfO. do But teml lo ri>|>TiHlnpe tlie timiiKii wbioh aru foniictl fruiii ttio nieiKiilerni 
« inlddla Uj er of llin euibiyii. The cxci^pUono lo thin nilo nrti raiu. 

Tbo fourth cniiHa or cnndtiion, mciiliryiit]! thr ilmiic uiiil f^ioHth of r»ll*, In tho 
firMiiaTa of otlmr cdlH iipna Iliem iliitiitji the eiirly pprioil ol ili«ir ttronrtb. Tho 
tunltlfomi ahnpeii nf tlic rnlli fnnnil In cnixMiroiia tunmrn nro ovldeiittr duo to thl> 

.caufc, at vnll nil tin- llnttcned klinpn nf tho cojln found In tha rpiderml*, bulr, aim! 
nany otitcr pann of tbo lioily. 
After ninturily. 111* Mttograilo obitnj^ or tnattuaoriitiosia at utico bo^iiiia iu the 
GtlU.aiid oaa naoanarf ooiiMiiiii«iicu iu llio body aa a whole. Tli« jioweraof uatmU 

■.btioii of uutiiiuont gtadiially liwomo inmiffloiciit to aiipply Ibe unstt'. and lioufo tli« 
ly on u vhoto tenilH to nniiwiLili.>. Not only ia this tlio rai>i!, but tbo pon-nr of Ch* 

' Intlividiiiil FL-IU U> Mpurulfi llio wmti' luntcriaU whi<^ll aro tho r«iiill* of Ihoir iinlri- 
tloii, linpiiinr iinphircd. Tlicfo Wiuito miitiiriHli> of tho oclU iia n roniminrncD afrninii- 
lnt« niiil pnniui thU-kcnInK nf tho cott walla of all pnrlo of iIik bndy. On<i or t1i4^ moat 
■IrihinjL: i>r tlin rfniilti of thin pronow la aMn In tha hnnlrnltii; n»d (ui let lira (Inn of 
Ih« aTlrtlt-A iif tlia body, which Ik ai> iviiiiiiionly Tmnd In |>i>r«'>ii<i "f advaiii^d ii;:«. 
The titatiii th«ni>rlvv» lend tii ■lr;:vnmil<.' iti obt pi't«i>n«. Mti»olo liprotnco drt;;Tndnl 
^ilo fat, nnd thu hhiiio ilvi^'nonil Ito piorena inritilm the connvilirv mil olbi^r tliiito* 
nf lh« tindy. A fnmiliur exniii;>lc- of tbi« it lo bu found to the arena aoailia, wlilati U 
■ suroalini of tbodrKcnrtalJuii at tlii- tisHiii-s. 

It ntny acnin, pMhap*. ncccwnry (o iipulcigito to an nndlPDce Ilka UiU for all^ta m 
«l«iiimitncy akiili-h of tbo j^wtb anit devolopmiMit of tlio hnmaii boily. My objMtt 
la do! 111! *n haa bi«D to rail attention to nbat 1 hclicTD tn tin our na«il«>nlllle laotboit 
of tcacblti)! bmnuii anitoniy, aa it !■ naanlly tmiRbt In onr nirdlcial *cliot>la mi4 
lla^;**. Th» Rioitt iiniiat or ordinary molhod «f tporhlni; tuininii nii.it'iiiiy ia to 
jin by atiidySni* tlio bimy fhin>«work of l.lia adnit hnniiiii body. Thia b^M always 

'•Mnieit to add iiunt!i-i-u:iry roiHpIrxlty to tlic aindy. nnd )irevoi>M tb<> hIikIchI from 
|[r»aping tho real (iiniiUrlly ii( the idiNt of tbo Miiii'ir>ri< of tlia hiiiiiaii bmly wlion 
*tadt«d ftoin the point of vluw ofila b(>ii>)(aiiiiply u ili-t'i-b'pln^nl ftoiii the hainau 
oriiin or cell. Thu atiidy ortli« vurioitH urjinna nf thi< body also is ninch bettor i*oui> 
ni«ii<«d liy exaiQLiiin;; thva, with the aid of the inirroiii'opu, an tho aaaie orgniis ara 
fnand In tho lower order of auiinala. The kidney. Iiir tn«tiinco. in man U q alio a cntn- 
pllcatcd Btitan, many of tha parla of nhii'h it ia dlHieiitl for the iliiileiit to niidfir- 
abiiiil. In the enmiTKiu ii«wt it ia roiiipOHeil Hiniply of a layer of liiliea vhlrh ran bo 
atiidinl anil iwmpri'linuded by Itie atuileut with eouiputativu ouso. What I* out pUa 
In pnmnltie othi-r >liiiliMt If we, for itiKlan<ro, take np theatmly Di'ohrnilatiy, wo 
U«VM b(>£ln by alndyias tba enniplax i^aniponiidn flrat; ob the contrary, wo Ant 
Btiidy (lie fUnnenIa onl of irUieh tbo eooiplox liodica are fornuKl, and thtia iiroecud 
froia (timplloity (o romploilty. Tho aaino tnothod laadiiplml If wolakonplheAtadte* 
of bulaiiy, f;i-oli>)-y, niineialosy. or. In faet. any nf tho liranehM of ualiiral n-inuyi. 
W1iy,then. do w« adopt a different iiiethtid ia (iMHtody of hnmiin aiialoniy ftxioa (ho 
ono we oilupt In atnilying all the other branrliea of acilenoer My idea uf the Irae 
way t» itudy bnmun anntoniy, then, wotilil ho to bt|;in by itudying Ibe hiUBWi uvnm 
oreelt. Ilien tbelluida. iiieli aa tbo blooil and lyoipb In wbicli tbo oulU ate foaml five 
and HonlinK. After Ihi^ ilndy Ibe rttangea pnidnced in tho ovam by i<iiprr|ni«tiii|i, 
Uia uipnontdilioii nf theuvnui, with lhndev«)upnient of tbe bbutodornilr tnetDhran* 
of Ihaanbryo and i (a farther diTjsioti into tlmextunial ami internal layer*. 8lndy, 
Ibeit, tbo titauoa and oT|[an!i raroicd I'roin theu) layrra in tho order of Iboir dovnlu|t- 
m«'llt> Tlicn tako up tbaatmly of Ihomlildlo or Ibiid layer of Uioavbryo, wltb tlM 



PAN-AMKKICAK MKDICAL COyOREfW. 1163 

tiaMi* and ttrgana rotinod trom H. The ttxiAj of homan aiialmiiy oanlvd »iil iu Uiis 
mtkj gives to it « »iiii]tl)cltf mid IxMaly tbfil ramloni it irorUiy to ba «]um«iI ftmatig 
tb« vinrt Hiirlifn*. 

It miy be bvra rNiiiirkml tlint till* nirlliiHt of li-«i-hiDg imntoiiiy is nut k non '>r 
ilulrind oo*. I'rot, floria), i>r tlio L'nIviiniityddViiuBirlvauia, 1 ainiDfontied, tcncliM 
liiuiuui »iMtMiiy In • Mutiuc* csMiiii.tlly tb« •ame to tbo uuu ubora deicribcd. aoiI 
Iba wrllM, > niiinlier u( ytun ^eo, vrli«u prafcHior nf auntoiuy iu GooigoUiwii Uai- 
Tenlty. otlopttHl Willi HiHceM Die nmn plan. 



DISCUSSION. 

Dr. Jolin I). RolwrU mM; 

Til* l«Boliliigof winliMuy U, m Ibu niitbirr IiUHUtiit, Qtiially buiKbt iii«D iii»«ion. 
IIAa maiiuor, licwAuav ibo giuii|>I«<k liumnii litiily i* stuiliird by uliidfiitii wlio know 
Dolliing of biology, Tb« tnie mothod in tw begiu Ihn stiidy witli viiiipla fonna, vor- 
(•IithU- iinit iaTurUbnt*. 

Dr. WmImM: 

In rnply to Pr. Rnlwrt Rfr;b«m'« moat ablo pa\»tx on Uwi of tlie itro vb '>f tbo 
wll ApjiUnil to liiiinHn RiMlotiiy, In wblcb )ia mijc^vmU tbftt tbe |>Ta|iOT iixiile i>r tciitli- 
liiK ftii-itoiu) I* (i> linulii wiib tli<i M\\\ Klrnctiire (bUtoltigy or gonml nnntoTiiy), [ 
■icrt« with lilin ^rbvlly. biit lb« i|ii«sli«n mmi<« oji, iiii4l«r whoMi vtiuit dvm tbia 
ini[Kirtitiil limiH'bof nimloniy coinv. I claim Ibnt it iIomi nulcoinn iiiidrr (be ofauir 
at anatomy, uliortu dnt] it ia to tnu<h it»«riplii'u nnU «|>i>cial »iiut<>i»y, but it proji' 
«tly riwwn under Ihe «hiiir <if jibyiiioliigy or thni i>r iiornml bistology. which chiiir 
ef«ry ncilirnl inllcge slitinlil bavr, ariiinl and tiqiiipjiei) witli a miirQNVo|io ua well 
■• vVMjrllilDg eUe (>crt>iuiii]{ tu Ibe proiior l«4rhiiig of tlutt cbuir, wblcb I (■uaaidiS' 
u tupoitatit u liny atli«r thair In n ii'i'll-<<qiiiiipr(l mcdital o<>lle);«. Tb« prnfe 
ofhiialoniy pfo|-nr, tbat in of dMrrljilive and i;4iiicr*l aiintoiny, biiajitiit aumiinh na' 
ha tan atltind to and more bnudpa. to do jiMtl«« to bla tnbjvat In tbn «h»i( HiMitu of 
tine tl*o >**>*} gi^'BU bim. ■!« would Iw gMling Into doop water In ba^la with 
•urb a l^k, fovvrlng to vaat a flalil ua It does. 



QS TUB UKCENT OL'CURRENCB OF LINOtlATUI.A RIIINAKIA. RAIUJET. 
tmO, AND T.I-^NIA RCniMOCOCCUS, V. 8IBDOLI>, ItU^, IN THE IINITKD 
MTATKM OV NOItl'll AMEICICA. 

Uy CIIAKLKS W. STII.Ka, fB. V. 
1M[mI 2MtgfM, HutMH ^ A»tm»lJnJ^Mry, V. ». DifrlmM U ^ A f rtwildm. ITaiMn^ tea. D. A 

1 wkb biiflly t«ntlt atlriitioii to ton puroiiitcs, compnratiTety rare tu llilaconn- 
\ty, luiiuil tiwlb III mail and douioitlciitoil anlinala. 

TltD lliiit iinn, Lingitatula rfclaarta (/.. uifntt>, I'tnltuloma tuniotdH), Im by no iiic-ma 
nil roin moll la t:ur<>)>n Liiid baa boaii r«i>orlod Mivcrnt Umca In South Aiiiciicit. tliittl^ 
wily, Ixiwuvar, II biw not baon notjead In tba Uiiltol StAtoi. t'. I.. Kilbarno, D<: 
f. 8., of iba BuriMaof Animal Indnatrf, bandalgblH|ii'>.-ltnoniiin nrnblitt at Woab* 
InKlon, t>. C, aav«ral yuiirs a;;o (Curlioa, Journal of CosijiaraliTo ftlvdieina and 
V«M(iiiary Arcbivea, tSlU, p. XII), and Dr. Coop«r CnriW found oii« ti'i^inivn in 
anutli^r rabhil in thia city (Ciirlioe, I. o.). Thtwe two fln<t« nrw, «o far aa I havo 
Immi alita Ut tnatn, Ibo only eaaoa on rvoord of tliia paraalt* iu North AiiiMi<>B. 

diilla rocMitly (July », WS) mj oo1h>NXt"% P- A. BchnEder. M. i>. V., hi mal;iii( 
{HMi-iiiorliiBia on cntlU at tbn Rnlilkra* lloiun, Iu tba Oi>Uiot of Columbia, uburrvMl 
a iwmllar apjiMmuiov of Ibo nivaculoilu lilundi uud, upoii aultlng Ihow upon, ba dia- 
Mvarad an orKantam whlrli bn «i»ipi>i't4Kl hnlongod to Iho aiMeiua now uudvr ciMiald- 
•TMloa. Tit* |>ara*ltM (furty In ut)) warn pMMnt in throa diffaranl *t<«ra. Dr. 
S<brm1rT kindly (ariioil tbo malurinl over to no for final dlacuo*'' *W^ 1 luttantly 
Milimwd hla ay*olllc datuimiuatiuu. 



1164 



PAX-AUERICAH UEDICAL COyORESB. 



Ab tlio ralitiilM niitl aaUI*mentlii«i«d«bar»w«r^a11nlM<l in thUreithin, tbelli>illii|; 
»f tt>iu« )iiti;tiiit(« |>rov(s ont'litiivirlf tliiil llie'ibfecii'in liiok itlnou in \\i\n vkinilr, 
or ill nihuc wukIb, iLikt Itiu miIdIi from this )i.inuiit« ispTcwril iii dogs in llio d'alricl. 
Tbii i* u poial of coa(id«roUe iiilercal to ]iliyiii«iaiiii. aincc wan U BubJ«el to iiifM- 
tiou l>y )lii>ipm<>ilc. 

It la not iDjr JoUuti'in (A|{ireaneibniuliv(>>tiMiniit of tliiii knbject, na llKiopoviM 
Ib qniHitiiHi bun Blrrmlv Iii-rh irtirkiil up liv iny Kntoposo «ii11m|["'"> *"<' ** I 1»vk 
■trfnil} piilillnhnl <in liiin laian iiutt4>i iiiynplf. A* tlii* arachontil in, ItowpTar, omii- 
|>atntivoly unktiovm in Norlb Aiiicriv.t. it niil ]i4iriiii|>i bu ia pl40n forma to giv« • 
T<>ry brirf viiiDiDarj of tlie biolu]:}' ut tb« NutifiTct. 

Tbe kpMiiuMiB wUicli I now «xlii)ill Id jroii meMora 4 to am. in Imslh. Tb««*i 
r«ptc««nt the Innnl atase gcncnllj kiiown lu UafuaM* ttrrala »r L. ifrilirwiiilii, 
wtili'b !■ fuiiiHl in tbo llvvr anil otfarr rtMwra of liotbivoron* animalk. It 1ia« nliut 
brain fonixl In Ifan (lanicalln i-nt. If lIiaHt piara*!lim gnin nrcitiw to th« niwal rnvllim 
of Aogo, tbor <l4<v«'lu|> Inio lh« Nilalt «ta)(0 known ■>■ /'rafnatotia (i*itiAM(n, wliicb 
]{mvra !■> tli« l«nj!lb of 18 lu :fO nini. (laala) or TO l« ISO luni. <rtin>«l»>. 'Hie uniaiatt 
cujitilLil(% »nil tb« fvio'ilo iiroilncM ah imuwusA nttmber of vgg*, wliicb eixape wilk 
th« nuHiil mticna of tli« biwl. Ha«b «gi; oonlainit a minula l-le)£-^l viobryo, wbich 
in turn detelopM into (lir lurviiIiliigoti|H>ii bviugsirullovttal bjr aberbivuiouaaalanal. 

Tbti ii|>cci<ii cat) Iw r«i]iiguii:L>il by Ilio fulluwiii); viUirnnt rbniuctora: Tlut utlmnh 
an> more nr Imn Bat >l«nin'Vriiiia1ly ; lliry jiomcsi nliniit (birCy UnnnvRrop rings; oa 
tlie v«iitra1 *iirffl«« nf lb» anti-iior jiortion in tlin ni(Hliaiv linn in niliiaivil lli« luuuUi, 
And on <ncb *lile nf tiia latter ara to ii» fouBd Iwo books; lb» vulva In po«U-ruir, 
wbil* tlic dihIc oppnlnj: U Jagl cutidnd of Ibn manlli. 

Tli« lifu biatory a» given aUivu to tlio iikuuI luiii niiHit *iiii)>Ie nyclo, but ■» ><ilijr<t 
to n^vriol i>ivi'[iCianii. Ait I liuvu Hvatml UiPt* ptrujilloiiB in ilutuil cIsi.'wIkm'o (Inr 
la llltilngic dvB l.iiigiiatiitffl, Coiupt. leod. dr la tine, d, Itiologii', Pnns, IKUI, |i. Mtf), 
I will Dotr bi-re ooly ouo or two cnnca wkirb w»ui t« uui tbe moM iiDportWlt ttom 
tboDtauiIpultit of Ili«prai?titioiHr. 

In enaiMi trliT'tc idru linvi' bnirbiirfTiI Ibit apuciaik, it Mtniii inoontMtabUi IbAt tbo 
iulVolloii ban x<'H"ralIy liihcii placr in on« of tkv folIuwinR wajv: (1) By oliMitiltig 
tli« rinl>T><H< iliti'ctly I'loiii iIiikb inlV^tnl «ltb llio arliilt furiii ; (2) by iwitl lowing 
eMi1>r,v<« wilb lli<i ilrioklni; vtstn; (H) or )>y oaliiig vricotiiblo fooit nhlMi boa bMn 
»oiled bir lb» na«al dlarliiirg* uf dug*. 

All aullionfleom to agiwp nfioii iIimw llim* niotlMof inrccliuii. r«nwnik1Iy I liuve 
■"jiuulttd a foiirlh (lof. ril.i mode of infeotiiiii, linni^d jKirtly iifruo lh«ir«tieal 
frii>iiTid«, piiTtly iijiuii ohtcCvatiunH und cxprMiinvobi nith :iii iillirsl npFi'kui (/W»- 
trplialiit eiotali: Ftalattirma prabotditiaiH). If liiri-n{ foriiiii of till* lal(*r«pcclM •» 
full lo konkra, tfKio of Ihit npnriniatiH KArb tile ItniR*. nbil« atbcn liinply lioni 
tbriMigh tito liili-tliiinl walls nnd bi^ciiin<> oDrynlnl in llio \<ii'\j caril<r. Thcori-lh-ally 
Mill Mioii ntuat apply to l.itiganl'tla rkinariii, tliat i*. If ii mnii uliaiild raI a pl«<« of 
tit'ur or oUinr orK'ui Rontiiininc living; upoiliiK'ni of tbi* iipodn*, it ia pcHVctly pua- 
nSblo Ibnl aituix of tlin pnnuKni woalil bor» tliolr vay ta tlie nbduniiiial ravlty umI 
bn founil latiir In tbnt pirn's. 

Carrying tbooiaiicr f)irlbi>r, I pmpbMlnl two yran ngn (Jtut.tit,) that /Votv^ftalM 
erttlatl wunid um« of lh('«u ilayit bu Ibntiil iin n |iiil>i(til(' in lb(> riixmiiiin (Miff'plyt 
Wryliafano). nnd iim a «baiii:i.> |>arnjiiti- in Ibu Ainericaii ni'gm. tbo luU«r rroriving hi* 
liid-rliiin flinii rnlin^ tbo opownni. Tli« firal jiLirt of luy piKpliiuiy baa a1rt>ad]r lfr«it 
rnlrtlli'd. fur mj uoiatant. i^. Iliiuiill, and I tiavc rcvcnlly found Ibi* |HintAlli' Iti 
Mvrral upiiMiinia. iind l.i-i>l<r ■»ni'' yearn ago maifn n mmilar Hud, wlili'b «ai not 
kiionn to mo at tbr tinip I wTntn tlir artipln mfrrrnd to, 

1 tiin biitdly Imvi- IliU xubJiHil ti ilbinit ■•■fcriiii|c to ItnbM' Ilicory hi rnganl to tiM 
waiiiiriiu)-* of /.iu]Tnniii/ii rhinaria tn i-Altlc. II<- lM<n«Tt« (bat Ibi- paiiulIM lior« 
tmta tlie iilHloininal i<nvity into tbo Iiinivii of tliu iiiti'Mluoti, arc uipvllcil ivltli tli4 
Amm, and artiaflein'iitilB Tikcn ap from lite gioiind by dog*. Av I bava aliiii'd 
alMwban, tbla moou peifucti}' ^oMibl«, but cettaluly oaa ual ba lookad upon *• Um 



I 



PAN-AUERICAN MROICAl. CONGRESS. 



1165 



I 



l*r*l nind* or liif*rll«n, fi>r I littve r«ijtiiir«(l aj'self by ivpFatnl uxp'TinietiU 
that tbe IkrTa) funj^uB-wuniui amy ilevu]i>|i iu ilie iiiU*liii>l nail. Niiw, wlim tlioy 
liimL Uifrlr eyata, tli«y will nnqacationably r*ll into ibi> nbdomiual cariiy, or Into 
lh» liiliutini!. accordinj; In tlio direct inn ol' Kul rvai.il imcc 

Til" lU'coiiil parMilIn lo vhinli I mUh to I'nil your nttciitinn. !■ Tanla tAin»Mwu: 
II ta wi'll kituwii Id yon tltiil tbu larva) hIiuo ( /.'rkiiioivii'i^iir ftnli/miirphii*) of 111 I* pnc- 
a«ll4i Ik iiivro or Iv* cutiiniuii m oiriHla uuiiiilHcit, )iii<l that 3 tiniiitiVT cf ranUH bftv« 
bxrii rfl|>uTt«i1 In man in llilii (xinntTy. .MoHt uf Ih" rnuo fomiil in man in tliii coun- 
try Iwve, howvvrr, li«(>ii ill fiirvii'iK'ni. Vr'c liurc alui I'uur cuik-ii on rvcuril <if itaucuur- 
raiee In AmorirAii liu^iiVVpli;!! 3, Uvotc 1). anil uuu vaie in catllu (Slil<ti). Tbtwi 
eNM*f« ilonicattcatcd auiimili. na w«ll na llie onaci in AtnrridtuBwIin have never loft 
Uifi R«nntry, tl«nuiusltutc lliat <lie nilult tnjiowomi ia prrderil (tbooRb nre) in Amnr- 
knanitog*; In Au^l I'. L. Killwrne bm foond it in mi« dog iu tlii* city (Cnvtioe, J. 0, 
p. Ml>. 

QnlUi r«cx«tly n>)">iiii hnv* <aino tu ino lluit tho «cliitiDcoccua liydntM I* rery 
tifi<ial«^il aniiniK Trxa^ cullk, mdiI 4iii)>ri>u bas Vmi nx)>T(M»o<l that it hna not bocii 
fwniid BiotP frvi|iiuntly in man iu Ibiil !>lali.'. It I* In utdrr to eK|<luin tbi>i a)>iiuiviil 
iMCinialiilcucy tlinl I menlimi tliia piiniajte at pDHt-nt. 

Vi'ltblu tli« pnat two tnitiillia I bavu Ii»l uu 1i-*h llikit 30 onaiv of Ibi* "Twum 

Batilnui'<-fi!ti»" irfi'md to mn, itiid 1 hnvn pciMiiiHlly nxamliicd an Irh tliao 5,01X1 

r«aa* cAlUa fo* itilo kiipviiu. null urirl D m<»t thoronjib ntndy of tbo rnlioDa apool- 

I (rblit"(H><'i-iiii liytliidiU I rnn alalv poltively tli&t not h atngl* 

[J liave rxikiiiiiicil iv ("■'**'<■>'' '■■' ■'•'blnucoucna. 

The |Kitli<iI>'i;iii i>|i«-lm('ii» bavi^, iiiilcril, a Huju'rllGlal mtouililHnce to tli« v«ra«1t« 
In i|u«(iti[in, liul u'boD opuaoit are f»uuil to bu HbvruHtM. 

At Ui« rei|iii!i>l of l>r. V. \. Uunt#, I lundo bikulvriulo^i: oullarfa from tbe 
al—wiM, mill we mnv I'ti'DCt from him > tcpoit ou ibu ex»ut imliicv of lli« trouble. 
Id IbitBiHBUtitiie wdcau rtat aHtnnHl Ibiil the re|K>rli'd prevalcncu of euhinocuccai 
lt>4aU4* In Texiu cuIIIp i* ureatly exiig^nitcd mid Ibnl wo hnvo no kimmd to 
frar ihai tbU jiaiiMltii will bc«i>iDo pToTalitot nnioiiK tho inli«liit«ata of that 9tnl«. 
By UiU. or runrM-, I by i»o nmtn« atilc tliaC (liern aro nhMlnUly no onaca of tliia 
pantlli- In Ihnt rnetnn. I nnly >»] Ihiil ii'ino nt llin cjima trfrtinA Iu Bl» UUiIor lh« 
^H illaipxiala (^tnti ra|>|i'»cnlr>l b;ilalida. 



ttUTG OK TUB OCCITRKKNCB OP THE SCAPm.OCLAVIClII.AR 

MlfSCI.K. 



fly KlinKItT OirrOX UUOUV, U. a.. «( N*w lla.Mi, Voan. 

l.aat Jaiinary nt Yal« Medie«l College, while diaarclion Ibn left aboulder of * 
wain nubji-i'l, I firiiiiil llila BDoinulou* ninxilit, tbo acupnlfi-rlnvlonlnt. A rdrrfnl 
atiid> of Ihe Dltiratiin: ou lb" *iilijn<'t of randrnlar nnotaalW revoal«il tbo Tacl tlial 
tlin rHojciitri'd (H'rnirrnre of Ibla iniiai'l" la very rani, t conbl dlacowr IM neonl 
wblrli aliontHi llial ll>e Binovlo bad nver bn«u ftinnd in Iblitcinntry. 

Ilr. L. TiwIiiE, ifl bl« excfrllnlit work mlitlml I.k- Anoiunlln* Mnaculnliii* CbaU 
LllaiBiBB, daanrlliea Ita M«iirT<Ti)ei> Iti Ivo notijvcla. lln Haya ft alto haa ImmiI 
ilearrlbnl by Wuiid ami limlieT, and Ihnt lla ooenrruncn liaabcpn ikiIhI by Lnachkiv, [ 
Hai^Wblunio, and liallot. So CAreful an obaorTar m MMMillUtoi docliiraa tbul bn bu 
n««rr lixind It, 

Tb> KapaW claTlular nnaclo ia an Inmntptete form of tbs •irmn anniralar muft- 
•la, wlilfb. anmnabiaa in nan, is ntnulaot in many aperieaof vrrtebrnlm, runrblng , 
Ita bli-bnat ilaTi' lupin cut In lb« I'nrhyclcniia and RnniinnnU, nolably the kipjiopot* 
aniua. Ibe (■li>|ihanl, lliu pig, ()ir d"nk»y, iind Ibn lioraP. 

If ili« vtavlniluT HUarliuii-tii nf Ibn ap^pule-cluvkiilnr mnarlip wore prnlunKvd n 
f«w unulliDHtri* ni*alu'l iiiiwutd llie ni<-'lliui llii"). It wonbl lirromn a aliirnal or 
nNlal laairrllou, and tlie niuavk would IliM bo ■ («Mpl«lv fuiut of llie klernO'WMini- 
Isr HiUoiTla, 



11 6G 



PAN-AUBRiriN HRDICAI, CX)KQRE88. 



MiwelM bouKil(iKUQ> to tU« •fupulo-clavivtilnr moaolv in roan m* foiind in n l»rg<! 
nnmber of manaial*. Wand bni fnand tliia innHclK ni-U innrked in Ilu> mhbii nn<l 
Ibn Ouiii«« pifi;. CiivIm and I^rlUitrii luirn IlKiirod It In t]i<<lr atlu anilcf the noaie 
of "ncnpiilo'tilavlpii." 

Tb« iniiKlo irhkli I fonnd wn* T ci-tiTlinrl^'rii In IrtiK'Ii. )la dlatnotrr In IM Aochy 
IwrliuD w*a about tli« «aiii# ii« tlie i]iuiiipl«r of tliti Ik-xli)' )><>rtiaii uf tli« [wMiMlor 
Itttlljuf llio oiii(>-b]ri>iil uitisclit in that siilijeol. It lucik ilo cirigin from tin? Hipi>rior 
liurder of tli« tit-upiitu by ti Ii-mliriuiiH nuLi'^iii. in voiiinJun nitli t1i« ullAvlimpiit of the 
■ □tMnnl (loTtion of tlii- ponierior belly of Ike umn-byoid, iind liy a ulrinkT truiloii, 
wliii'li wna con till Hon* witli tMn tfu'llnnui niurf'ln, Hnd wlilch cittndn,! m^iilnd to 
vltlilii 1 continicl^Tof tlii>»ii|<v(ii>r anKloof tbnaoapula. InltaannptiUr tiro-tlilnU 
Hwaa Intvi'ual to and jiittullpl witli III* pcntfrior belly nf the onin-liyold. At tlie 
JuBOUou of tile ivapulur two-llitiili with th« clnvivnliu' third, tt pa«««il briivni.h tho 
Muo-byoid musok and ountuiti«il |iati>llol witli tli« pottecjor surfooo of thu cluvirlo 
la bo tnMTted by o well -marked tondon into tlie elitricle at tJi« janation of tho poa- 
tflrioT border with tbc rbomboid impteawmi. 

It l> In rctnlion doniul, or InlcTtinlly wllb the inpraaoapiilM arUrj and Dorvfi, 
(he imrtnltia iiiiiKiiiii niii»cti>. the nxlllnry artrvry nnd vein, and the brachial plexaa; 
•nporllrlaltj wiib tbe ohio-IiidkI iiniwlo anil tli" eUvlclo. 



THE VERMIFORM APPKNDIX. 

Bj B. n. PLUUUEK, A. U . U. ».. M. R. C. B.. of Siigland. 

Pr^nnrrf -tnaMiny. Cotpir Mt^ittt Oalligii fMf/vt Itu SuraiMt CKnit onitif Af amiUhPtinan 
Oiult, Caar^r ltt*ilit <-aU>^. Km. rraactea. Cnl. 

Thn fl«ld for analamteal lilorntnro 1« an 1 1 in lied by the flied laira of ttnturv, nnd mo 
well h»T« iLmb beon«onii<Ml.tbnl mtoiind fnriii'w inulel'llillafiiniidonly indoTlalioea 
Irutu the UBiwl type, wblcli oiirtikilx tbo woik :u tlila departnivnt. 

Not uuiDy years hiuo* li«altli ntjiiinlka teetned with tup«rteil (Mmm of au-enlloil 
"idlopatliio poritonitin," but Ibc rniiHi^ bvcniiie more iippnietit ii« |io«(-niurl«m e\niiii- 
BaUiioa roieahHl, iu many unaea, tniiiKirnlloD, iieifornlitiD, or gaugr«iie iu Ibu vcruii- 




form apiwiidii, aoiDetimea urilh a •t«rei)lllli <oopriililb> or aome roraign anb>i|ance, 
aa the aeed or atone of fruil. lodged thereiu. This kuuwIedKe biia invcaliwl Iho 
appciidit with Dew intcrol to the Burg^ton, the cfaief pninia of which are, flrsi, lla 
funn nnd nltochiDeiita; nocond, ita ailnnlinii and retnliima, bavlnjc rrfrietien to opor- 
allvo ni«aitinre«. It la naiially d«neHbod na a ''blind, worm-Ilk* tnbc" nri*ln|t from 
tbe Innvr and poatetlur p*Tl of the citcom, near tbc fleo-eipmil valvp, poMluft thence 
npwntd and Inward twhlod tbe c.rrnra. ExtonJuil oboorvatiouM, bowerer, b«v« 
<l«4uoiiatmlMl tbat ita form and attAubnienla varynut alilll*. It mayariae (Void tli« 
poatvrior. tbo InUmal, or tito anleitor auffac^ ot rtoiii th» ajiox of the cieeuiD, tlio 
lonsiliKlinBl mnReular banda whidi cbnraclsriie the Iotkb Intealine being eontiBoed 
npoii it. In iiuDic of Ibe Intler ensui it iippeara »a a fiianel-furin proloU);aUou of tbe 
<««iuu iluwiiwuid auit iowntd soineubnl aa roprcaentod in the aboTO akeCch. 



tne H 




•i^s**- 







VEFtMIFonM APPENDIX. 




• 1 



,1? ' 1 





Vtumront* appendix. 



116S PAN'-AHERICAN MKDICAL CON'CiKEBS. 

•nwaril tow:ird tlie uuibillciis. In removal n( the niipi-mlix tlic clowire of tie liimm 
mny lie cffectnnlly acci>mplislii.-il Iiy Blitting dun'u thu siiIph of tliu stump and trim* 
ming tlio angiilnr roniera of llic fInpH. nlik'li iiiny f lic[i bo iiiveiitsl iir iuvnpiiiAtttl, 
tlina bringing tlie serous siirfiirea togi-tLer, wIiiti- tlii'v muy lie sutund iu positiou. 



Drsci'ssios. 

Dr. Lsmlisaid tlint ill his poBt-iuort«m eipi.-rbii<'0 tlieciircuniwHagonerBlly covered 

with peril iiDoi I ui, t'M'ept, perbapn.a portiiiii of IlK-pOHtvriiirfiiirfnce. The vermifona 
appenilix hiiH aIhii bei-ii ^eneriklly coverecl witli |iiTiluiiciiiii. of viry varied lengtli, 
anynhure fmiii 2 to H tiiihos, ami mnny times twititinl nml anj^ti'il. ixiiiietimcB with 
adhesiuiis. Iu the rnsn of l)r. -Slilv:*, llr. I.uiitb iliiiui;lil tliut probntily tlicre hod been 
an aeciiiunintiuu in the Irriintml piirtioii iif tlie eliiirjily-lii'Ut n|i|>eiiilix, oiiil sot ap 
iiiAamuatioii. Ur. Lambrememlii-rcil liavinj' seim Imt iiiiit;iao in whii'h the appeiidts 
yraa nbKcnt. It vna iiMtiiiiisliiiiR ti> iicitii-« liiiiv niiuiU iiD uitiniiiit of diaeafle of tha 
appeudii wuh apparently Riillicimit to riLiisu di-alli. 



THE RELATIONS OK TirE TIKAliT AXIi LI'NCS TO THE ANTi:RIOR CHEST 
WAI,L AH J>ETEliMlSKU IIY COMl'DSITE l'llUJ»)r;i{Al*I[Y. 

Ky IKVISO S. IIAVSKS, I'll. 11., M. 1>.. 

i^lhf H"Ciets uflhc AOoiiJii •■/ li-lliii:- Il-.i;l.il. -J !!■/ \r,.' Y-rl •'■■ii,-l;i H--liHil 
^I'Cirtjf. I'J the .\txt'''iiiti"ii "/ .\},fi\'-i}}i AuatomtJ-U, tti: 

Tlio study nf tbe rtlnlious iif 1)ii' hi-iirl ami 1iu>):;s tii tlio niiloi inr cliiiHt wall is of 
tbo ntiiiuMt inti'vest to iib, imt only an analcniiisia wiirrliiti^ ul'tiT tlii^ iMcart rela- 
tiuuK of the viiriiiii;* luirti of tliu liumiiu Imily, hut :iln<i :i!< siir^t-'cmri nnil pliyiiiciaiia 
euu^K*^! in tlio tn-atiiu'nl c>t' tbcKiioij^iins in tlicir vaiiuiismni'liiil^liitix; t'urhowcnu 
n tl(>p;irtiiri' fniiii tin' mirmni ri'taliiimt of rbr biidy !»' ik'tvrti'il iinli-iis wi'arr familJllT 
with thoni' ri-liilioii»f 

It ispraclii-ally imposKilili'loiU'ti-i'iiiiiii' th<-siiltiii'i'ri'J:iliiiiisiirihelii'art iindhinj^ 
in the livin); i.'xi:i'pt in (hi- iiioHt fjiiii'iiil wiiy. iiml mi: mi' fmri'il In sinily imt tlia 
prubli-m upon thu radavcr. Afli-r »<.' hiivii oliLtini'il i-iii' pll^1-lIl•lrU'lll UKMaiiremeiita 
wu eau not ap]i1y thi'in iudigi'iiinimilely to thu lit in;; imlii iiln.il. liiu; iilliinauces 
lunnt be niailo fur thu riinstanlly I'liiin^'in)* pusitiuiis of 1h<' hiail ami lun^is wilb 
every piilHntiiin nf tiin fiiniii'r uiiil renpiraiiuu nf the lallrr, I'ur ilii- ehaiiKea c&ueed 
by tliu ilillen^ut posilions usdiinieil l>y thu iniUviilnal or pni'Iiicpil by the states 
(phywolof;ic or ]iHthii]i)f;ic i iif the iiuiKhbniiii;' vijii-ra (slimiiiili, livers The vary- 
ing thI^l:Ul;^<» uf the HiiiX'ilii'inl ti-i.-tnen ami Ih(> sexual ]i<'euli:iriIU-x nf the cbl-st 
and Dianiinary roiilij;iira1inu nniHl also be taken into ai-coiiut. 

Not u'ilhst a inline all thuM> iliili-iilrii-!! >vith whii'li wu nui-^t icinti'nil. nnr pott- 
morii-ni resit it.i ilii nilniit of the nmst [irail i<*al apiilii atinii. ami. " hint the neeesfiar.v 
Cotl't'i'tiuns (if a^i'i '^x. po>-(iire, etc., are made, lieeomi- nf kihIi ri-liabitity UB to 
deserve oiir conliihini'e. 

Of the iiiethmls heretnfore eiMployeil for di'liTniiJiin;; 1h>! Mirfaei- posiiinns of tba 
heart and InnKn, 1 will s|i<-nk brielly of two. namely, iraii^lixinii and fro/i-n sections. 

Traniilixiun by loJi« piiis in a iiiethinl mibjeet to many sonr.is of enur. and in the 
end becomes a (looil ileal like guesswork; fur, umIpw ihe iliU'i-rem-es between the 
positions of thu pins and the actual pnsitinu nf tbi- vlKi'i-rn iiniler i:nusiileration are 
correctly fiiken iiDd n'ferreil to cnrjTS[inndiii^ pnints n[i(m the rhest, the results 
from this" method will be too tini'ertain to be dejH'mleil ii|inn. Kronen seetions, eare- 
fnlly nnide as direetcd liy I'rnf, Thomas Dwiuhl, will ^-jve i-nin-el rei-iilts, bnt tlie 
methoil is very InborimiH. takes a ;.'reat deal of liniu, lan lie ti-vc'l oiilj :it a. ceitaia 
seuHuu of the year, and then only in favorably >ilnali.'d plm ch. 





VERMIFORM APPENDIX. 



PAN-AMERICAN MEDICAL CONGBRSS. 



IIM 



I 



IP rftrialUin la foria •d<1 nUulioMMitji to wfaicta I ileaito lt> djreol >pr<iinl 
■UwitkMi, tlnce 1 hare uot scca it (lMoril>eil cl«nlii-ro, in oiie tecectly ilttci:>vrrvd In 
llip BitaUiniival tuoiii by one ot my pr<i*Mloiii, Mr. I.swrou™ Dniilu. It wiw timnA ■ 
tc have its uriglD fr^in tl>e iiiu<?r luarpii of tlir opnx of the vncnDi, |>uaiiiK lli«ne« 
dftwnwkril u»l ioxntil, cn>Hiu]{ the btim of tbo pclria, dljipiUK munewhiit into Ha 
nrltj', Ui«iH« BKoiiliDS iiiilil it mnrlixl the llniitn, >1>nut foar lactiM dlslont frnm 
Ifar owcuiu. vrlicfa it opoacd Into tin ]io«t«rlur-inf»ri<ii liaidi>r. )t U doatIj mtmi 
Itifhnt In li'DKlli aiid abixit Ihii *ixa of a gO'Uo ijulll, exorpt the last two iticliM, 
wlinh- li I* lUUifnl to abinii tni)>e tttutBUo. Tli* nriSe* of enuaiiea lata tb« i)«iini 
Uaomowliat v"ti>l rioted, but freely nduiila an utdiiinry jKulie. 

Tba fatluwiaK akotrb tnprawatn the ci^culn apca ftoui lb« fnnil, exlubilins iJio 
alll'llko oHIiw of Ibe ilewm, Jiut Wlow vthkb, in llie apox, {• tb(* •nmllcr oponiiiK 
of tbo appuiiilix, aliDwing, nlwi. Ita coiinm and iiltucliiucul to tbo il<siiin, 




Tha aiit^aot (V«en irbieli Ihia aficoimoD wa« taken waa a Oonnan, male, laborer, 
kl]ttr-t«a yean of age, mid died of polmouniy tubuKiilodit. So tut ua known be 
praaealcd ui> iiiitorj-urnbiloinlunl tro<iMe,nui trai thure auy evidpovi-. on pont-Biot^ 
ton •itmiiiutiuD, of pr«vioiu iulluiuiunlion nl)i«Ii niigbt bave mnlivd in adlicaiuD 
■nd ptfiniliun into tbo llouin. 

Tlia (kivf liitL-Tuit attack cd lo Ita variation In poallion biw refcrvnte 1o thofacIUlj 
auJuil*l)~iiro|K>iiilliii piocrdaiMi la 30 per coat of Uii.> liiriio nnmWi of oiimt oxaai- 
laml Ibo ciT'-am La* b*Mi found M«tliif> iijion the ftosut iif«r ilK outer boritvt on a 
IUh> atid midway batween Ibo anliitlrii* and tli« anterior- an potior apiiie of tlio 
illiini. la tlia loiiiuiniui; <'iim<* it occupiitl varioim (lutiiliuua, viz: EKI<iriiul to tbc 
)iM>iM, iiwlitig a poD the iliaras, lower orhi|;bur Ibaa the jiuiut above ileiif;Dulcd, or 
tsward ibe palvio cavity, tcacbinx •aiBotlmo* to. or ovi-u boyuud, tho median lino. 

Ilia Turiatjoa may du|iend upon tbe mode uf dcrulupiuoiit. ui it may depend upon 
IbdIenKlb uf tlia aicaci-ciDCani, wbcu that oxisti; and It it not iilway* jiouible to 
•feumtely detariultio tlie poaition bofara opcralinj. In odo huadrod caara oxntnlnod 
•nly 30 JMf coat aro fmind to liavo a ranMolory, tbo poHlniiiMim merely covriiuK lla 





TrimiBcd 



■ Il>l HI I' 



■nirrlot virlWa in tlie olbrr oatm. Wbeo the mmum ocMplea tb* lllao foaaa tha 
B|ipi>BdlE may be readied with (;rrslent fneiljlyand aafaty tbrougb ibo onlinary 
•vuillanar liirJaloD tot Uitatlon of tbo external itiue arlar^V. t'roiiiienUy It Will l>* 
fotuid HUDcCTMarj loopco theprrilooeul cavtt.v, Ibu* Uatcniag tlie danger liyreaaon 
aJ tba Imwnl brlnji iincoverpd on It* puntoro- external aarfiice. If. boworer, datiuK 
tiMoparallon Uio raM li« fonnd to bo an« where tbe ee^nm Il<«bi|;her in iheoavity, 
■rwlivra there !■ a uirM'iilrry wblcb primlta miiri- or leaa moTement trtwurd tli« 
MhIUu llaa, It dm; atlll be readily r*aobod by axtendlug tha iaoiaivu upward au^l 



m 




UGH 



PAN-A&IBRICAtr Mf:i>ICAL COKQKKeS. 



Ill word liiWAicI tlie iiuitijllciu. In mriothI nt tho k)ipnnillx (1icc.)aani«or Uir liiih** 
ma; b« cfffctualljr s(!i;(>iiii>INic>il hy alUlliiB doirii tbe «l<lo« rf Dip ]>ltiiii|> niiil irlin- 
iiiinjt (hL> nsgnUr cioriiorB ot l)ii.> llnps, nhioli iii.iir then lio iiiKiiltHl or liivaciiiAlfil, 
IhokliriiiKing tbAawail«BurCiv«« U)g»tli«r, wli«<iv tlivj- iniiy be ftulutid ill pooltlaii. 



Ulrt(U;S8ION. 



Dr. T.»in1>*ai<l ILiiliti hit po*t-uii>tt«in ospuric-iKio Ihocn-cuni whs generally cova: 
« itii pitilt<>ii«iiiii, ricei'l. pciUapa, • puitioii of Ibc puilpriur mirfaco. Ilie Tfriuiroriu 
ftplHXQillx liiw Hind been RDDonllj' covenid nilh |>oiUoUGiim, of vrt; varinl Uiiglh, 
Anrnlitiro frnia 3 l» 8 iiicba*, Miil ointiy tiiiirn liriatctl nnd aoglcvl, iiouicliin» vriUi 
ftilheaiona. In tLc cute uf I>r. Stilen, Dr. l.muU lU>Hi|{bt thnt piabulilytUrn- boil Imnoi 
an ftccunialntlon in lliu t<iriiiltinl (lorlion «f tiio flinriily-tiniit a)i|H-n<1ii, ami vet up 
iiiflsitiuinliuii. Dr. I Amb iniiinmlirroil h:ivlii)[ noun Iiut uiir c.iiin In irlili'li tliit nppcuillt 
KM nlntt'nt. It WM >h loll loll ill); l» iintiro buw umiill SD niuoiinC of liiacn^p of 11m 
Dppnudli wiM Bpi'mootly aiilBciunt to i>aiisis itvulb. 



li 



TUB RELATIONS OK THK HKAIIT ASI> I.rN(J.< TOTHK ANTKltlOU CHI 
WALL AS DLTi:iiMlXi:i) HY COMI'DSITK I*ll()10l.ilt.irHY. 

BylKVina K.IIAYXKlt,rn.]>., 11.11.. 

!■/ a f ■*<(>'! u -/Ihi JlKinni rf B'lUiwt IT<iirital. •//A<.Viu< Ifrl lUuiii), JfnKad 
Saiiity, t!fl^ AuarluHHt »f imiiiraa XnBtvinl^U. rtt. 

Tli« ttitily of t1i« tvlntlon* "t Iho li»>n nnil luDgi. In tlio niilotlor obiwt wall U«f 
tlio utmo«C ititi-ii»t to iu>. Dot oul) m miittoiiilHU hchkIiIii}; AftM tliv rt»rt r«1a- 
tiiin* uf the viiTiuiii |iorl-i of llic litiinun baily, but »Im> on Hurf;eaiii awl plijslclun* 
ciiunKvl it) >)iL> (routiiiriit uf IbMixuijiiiii iu llitir vaiioiis iiiurl>i(ltilat«ii; for lion cull 
a (Ifipattiirc ftoin tMc iiurinnl rHiitioiu uf Ibu tiudy W dot i-c toil iiiilrBiiwiiarefHiiiilinr 
witb llioM riiliitioiuT 

It I •!■ radically imjioHiitilo to dotomiloo III* MiHnro relation* of Ihtbcartaadlunft* 
tu the llvlDK rxvopt in lbi> nioit genera) wny, ouit wo ara fufMHl (o altiily unl tba 
pioblvm upon tbo tviilnvvr, Aflcir w«- liavo olilainvd our puvt'iiiorlein nimuiiiainunu 
wvuiin uolappl.v tbmu ln<li«<iHniiniile]<r l« tbu lining IniUviilunl, Vav nllowanaM 
must l>o miiilo for tli« ouiistunlly cLuncing ponitiutia of ib« bi'ad ni»l liinxn witb 
every ]>[|lKBtion of tbe fuinii'r anil rpiplinliuii of tli« lattur, for tlio chnngmt ran«nl 
by tbn illDorvnt po»itioua uciuaii-i] by tbo iiirlividunl or prwliiooil by tb« atala*] 
(pbyaiolvKie nr [mlliol'iEic) of tbo iiolgliboring vlnrnrn fatoiiiacb. liror). Tbo tbi7<] 
Ing IbiolinPiu of tliD anpi'illcinl lintiiM ati<1 tho •oxunl |iiiciillarlllM «f tlM> «h 
and niiuiiniBCT FonllEniuiUm uiik^I ■!»> I)« takwi ttito aocotiul. 

NotwllIiDtaiiilliig fill ill?"' •linhcilltiia witb wbicb us miint cotiicad, our pott- ' 
iiiorlvra n-diilu ili> mlmit of (lio iiitwl pruutii'al apj'lirnCion, and. wbcn llix uuei-ansry 
Mtrirctiun* nf ugn, mx, |ioMiik, «tc., are niiule, beoomo of anob mljabllity U tnj 
il«««*TV« our uoiitblmcD. 

Of tbc nielhiid* licnitoforp ninploycd for drlnriolniiii; tboKUrfavu piwitlunii of the 
heart awl Iiiuko, 1 will iprnk luirlly of tnii, luitiioly. Iraniillxiou and IriMcn aMtiona. 

TraB«l)xloii liy Iouk i>lna U a molliixl »iil>i>'('i to niuny routcos of error, and m tli* 
end liMuiiMM n |!<iiid d*:tl liko gaioanorki fur, unliwa tbu diirpr(«(<r« Iwtucpa tli* 
po«llioiiit of Uin jiitiR anil l)i« netiinl poiitioii of tbv rUcufu imdor roiuldiTallao ara 
eorrcotlj' Inkpn and rofenod Co carri^^poiidlnt: poInU upuii tlio rliwni. (ho toMilta 
IVoai tliU niclbud will ln' (oii lll■■^o^lnln to tio ilrprnilnl upon. I'roirn nprliona. caii>. 
fnlly mndo lU directed by rinf, Tbiniiiis l>nl;ubl, wilt giro <«iTr*<l r«u"ll', bnl Ilia 
Binlbod la Tory lalioiliHw, take* a v'cut deal of liiuo, i-nn lie iiac^l out) ut U oiTlaiu 
•nuran vf tlia yuiur, and lltoii only iu favuratil}' NtiiaicU placi-a. 




PAN-AUEHICAN MKDICAL CONGRESS. 



11C9 






In Um be* of tliMit diflliiliiM, anil witli lli« «oiiriniuii oT mind rnH'iviu]; ft liutjr 

iniii|>«rl*rm tit lb« ■m-imiiri'iiirtil* kivpii in ■Diiir' or tbr nliitidard (exl-lranki, t ciut 

Klflxit I'll ■Hill" 11 »>y '.f ilvti-Tiniiiiiif- IhriKi rrTiiliuoi ror inj*"iir, m|>i(tl.v, tMvninilcly, 

wllj". mill •(i<lii>nt rwrrn-tM'i.- lo ptncc ni h'IUhmi, and tlionitbt of my cimiMH a* n 

Tuitliliit ■(-•inl Id fiiliill tbt"<F ilivv(K< rcqiiiiriDRtita. 

(^iiii|uflil>' |>li<>los^ii|ib,v hna brrn n|i|-lii'il to ttir «ultilU>u uf otlivr jirolilriiiH, bill I 

liliik I luii till' nrat I" iii'itlf it to thi- ilrli-iiiiliilii;; of iliu i-iUiiibI rtOiiUoiiii vl llie 

icsrl ami IiiltL'*. I Iii'i;! ly i>x)ii'rl[iwi|il« til May, DrJXJ. ivnil wotilil lajr in tht* ooii- 

ipclliMi ilint I lunt Bpiilinl iImi *iiiim> im'IkiHl tnwulviiig llioalHlmiiiiial reluliouawilh 
it Mll«fii(itory rtaiilU, wlikli 1 l»<i|i« to lie able I0 prmoat t« tlie abcjety at aoni* 
tun> nrruoiflB. 

IMotM iintvrliif! npon a ifewriptiffll of oninpDail* ob<«t pliolojirnpliy, I wlih In 

Jicm* fill a tii'iiiwiit Ui otIoT a few <x>iuiBi'n(M iijioii llio Icxt-book Itlomture of lb9 

iibirrt iinil 111 innke a ptuii fur eri^ntrr nxnclimw la itiivli ninika. 

1 tlo iKit noiili'ml Ihiit thi< iit^ili>tiii'ol« of tli« variolic mitlicrH mii>>t ni^pi- nilhoiis 

iiiilbri — llial *■ <cii)i»*il1>Ii> from llio Twy iialiim of llie wil>jp<l— but I wish to 

'Olijrri 111 tlir ■iTi»pliic Kiirfiil aUitoiiiniit iLjUl un vl<iw> xtiitl}' furaiohi^fi oh will) no 

rr; lUUr (I'llsbln iiifnttiiallini. Aft nii vxrimplfi o( thi> «lylr, 1 qui>lv Ibv fiilliiwinK 

(•tliiilliH Inim n ti'\t-l>"ub iif niiiitiMiij : "Tlie liiMrt lira upon tbo li-niHiioiui cHit«r 

of ltii> <)lu|>lini({iii, iu l-nniT |H>iriiiiiK iipwani ami Im''Iiiiiiti1. nnil I la api^x point iii)[ at 

Jiiii' tl»ii uf lIirAflliiib uiid r;irti1iif;o." Aoil IliU U all tli«rD Ix tn UiaeuUm 

uiiiM ri-ii|ii-i'litiK l)iR Inpjilion of nucli an liitjiortAiit orfcnii na llip heatt. 

AehIii. 1 wUli tui-all uUriillonto tnlK* npiuffiill)' sa uuBCt, but n-itltf billing inanf 

IwrpUxitlM. BBil fur IIhi Ihiil llluHtriitiat) 1 "bnll qii«l«, vitli all rcnpvcl, fnim that 

iinrliniiM) «f anal'iniiral Itiformution, (^iiain'n Ai»l(iiny, Vol. 11. DJntb Aiuericau 

tItuH, piaRii iKt, llm fvUuH'iii);: tfpeakiii); of tbe luft Ixinlotof tile lieorl. ntid vbnra 

draw IUkuIIjuo apiiu tliccbval, be luyii it in iadtratcil by a "line ^im tho tlilnl 

>tll1as*,"iiliT. Xuw, tlie tbilil rartiUt;" ia niiywhrrti from U to 2i Incbaa loii^. 

:>oiil Uirm- fori rill t iirnn ianb wide. Iliiwcan aurh aaurva \f tliA«tnilliit; point of 

lianf Otii> iunn>: l^iiNiuanil (iray biitb uive thvbain of Ibn b^nrt na a " I loo drawii 

Ibr (IntiiiilB nn a kivrl llllh Ibn M'i'oriil coital cartilaa^nt." Mlgbl iro uotwit]| 

)r*«L. Ullu>(i|<pft(boidi'rortb«r«iilararlbuUiu'or border of tliPM cartilago* 



cr>Mi 



Uai>r vrT'iT* in mtr t«tt-bo«kH Hri< pxnwitiTc, biitl uSct tlint in Ivxl'bookii piiinarily 

ttvDili'il for *l<idi'nt(). and rte*i|;iif') to be sm (ikm'jm and aconralc in xlatiMiiPtil M 1* 

■UCmiI nllli bi«vlly,iivri<j<iii<>miMtaB»afaoiil(liiolberuvciedb}-B few Rcnrrallllei^ 

r akuuhl " point*" mean any iljineiuton of luogtb np to an incb or any dlmcnitloii 

rxtrlarr f^utu It* proper itollnlticin up lo an nrva of 1 or J*<tuara lachaa. A|[aln. ure 

ntvt <*ltb dinimlllca in Ibn appllratlon of llimo ilalitmunl*. liowornr a««iintl^ to 

I Itii1lvlilii»l. Vnr nbll" In a thin pcnon II la ta*y oami^b to r«rogiilT« cartilHgra 

hI rlha. wlini llirwt landniarka luu mrcrMl wiiti urtin • iwiilwinto layM of Oil Ibulr 

<i<i;nitian b«roini« uncrjtilu, lo aay notlilnic of IifcaUag the eoato-rbnfKlrnl and 

idin ulrTTinl arliiiii1ntioii«. If 1 inl|;bl olfor a plan to nioUt In flying Iba rela- 

tliiB* iif 111* tbflTai'ifl tiarrtn lo tbo viUTlor of tlie Hi(«l in «onii«rliiMi irllb llie 

■■ml lundninrka of xlprniun, rtl>«, r*rlilB|;iw. ami Ibetr artidutnlion*. I would hii)[- 

|linl HO ■lart f^um Ihe anpra'titpinnl iMilcb anil mark (be diKtance to buluw tlie 

Dnn alo«); tliii lueilian lino in incbi-a or ruiilinictvm, and the dialsixw of ]iuinla 

■vi>r««ly In tlxi right oT li'ft of tbi* line lo l>u ipven irjib Iho diHtanoc on tlie 

laternal hiM Ittnm tlin anprn'aloTnal Molvh) from wbieb tlio latetHl liu«« are 

a«u. 

roxatnplr. tliaaju-i polnl In SnbjMit I 1*31 larlie* irannTnniely tolbniefiof tlie 
nal linn iwblrb irill bo TBrMml to by Ibi! lotd-ra it. S. L.) at Ita 7-ineli 
nlnl,(.a., al lb* pnlBt 7 ln<-liM (h>in tbn atipra.>.i»Tn>l nolcb. No miiltrr ban tliiek 
ba lay«r of adtpoae Uaaiia ia OTor llio rbMl, anil linn- obuiire the c-artilaBe* and 
Iha In nnnMi;rini(a beMMP. the aupra-atonint uoUb pan alnaya ba accaralrly 

8. Ex. M 74 



mn 



1170 



PAK-AUEKICAN HEDICAI. CONaBE!<.S. 



<lctenuiuc<] by tlie aDiue tiiaimiiTT»— only revem«il— lijr whl«Ii l]i« antciiuf' *iip«rli 
iliku ii|>ino is llieil ; uniii>>ly, by ciiirytug tlii> lliiiiiib fruin abuve ilitu'Eiward tnUi 
ttoIHi until it rimicB In liriu coiitiirl nilli Ihi- tipper niurgin of tli« klvruiinii add fttn 
UiU point mnkc (ho donnnnnl ineaiiurtMUi^iit. 'Hie iiieusartrmciiU t« ti^jbl oi left 
Mutt alwn.VH bo inucle nt riKlit »DglM to thv miil'iileinnl line. 

ASHroc o/ vn'or.— or coiirw, nit cbrst wMt uid their contained tImmh do iiot har* 
t1iv«amn<llmpi)iilonii,9n(litwiiiiMLii^obri«a>lyiii«arTect to apply the NaaltaotilaiBtd 
from a largo *aliji>pt directly to a Muifttl odd. YcI, altiM the nicinnrciiiDvil* for tli« 
nveraxB iiinleatiil fv-iiinloa<liilt an obUlnvid, tlimn oun bo applied totlK- dclnnnltilag 
of tiniilar |)iilii(« lit tli«nv«rHi;o pcntiiii,nn<l Ilia oKlnnnot ofoiir icalo in Ib<ton« 
to tbu «Kti-<^uiM in I1i« otiior. IVi'liikjig wo catiftub«u(|ii«itlyd«l«riiiiiioacMtalnralli 
butweeu (be vbett iiivuaiKt-iiieiltd iitid Ita rirouiiirnr«4ico i>r eoRio «lti«r ivpTmontatl 
luoiuiireuient that will brl|> im tuoTur^oine thuabui-o «oiiT<-a of rrrnr, but myospert- 
inuuts bare not yvt born ■niQlriciill} DUiiinroui to justify Ibu fuiiti illation of ouj nli 
able auji'^Htion iu thi> eouQeutlon. 



rMl^ 



DirteKot»J«T lakiii$ lA« cunipotifr oAmI pAolDjroplk*. 

Flac* tha ittibjnct prifcctly hnrlinntnl and in,lci^t cnrcfiilly llirnnKli tlio mrotl 
(right or Ic(t) n thin pla»ti>r mixtiiro {rnlored if tlcairod) to modmli- rulli: 
Soma Bllbjirla Hlimild be iiili>il vt lib nut Ibn liijt^i'ljnn, but Ibr iiijnrtlon wtlMi iniHl«i 

alolf girati, and aficr li hn» llrnily »et, ii-rvM to niaintslii ihc htutt in » fi^ccl |>> 
tloB, ftiid \» eoiiM>i|<ienllv an ailrantaico. Mart>ovitT, by (lliitmdIuK llie hoa. 
nod«Tste]y. aa ia iMiiully tli« roau, itn nntiiral position iti diatlola will b« clua«l; 
approxiniutod (Subject 1) and in tbotn iiiKlHiicca wli«r<9 llio liijaollon i\vm nut Hll Ibe 
veDtTiol«B and l.hi^y liitjipHii to rvinniii (irmly ouDtruc(eil, you will aornrc tlt« livail fi 
aa(ato oloH<ly ntliud to it«oi>iidicioii dtiriu); Hyitole (Siibjrot I[]- I.ovnlo llio |ra«i< 
tioBof tli« nipidcn ntlti rofeiDDcc to tbe riba aud mid ■(enml line ua provional 
daaeribed, tbcii citref III ly ill viae (beui tbiioiub Ibcir iriilL-r tu t bo deep |>arta atn 
Biurk Mitli plnrm witb nn aniliue pviicil mi (bvy inuy bn fuuod later on. RriiMtve a' 
•nprrfioinl tiHiin onil mnsclos <por(urnlN iitii) uWutitiiiiitj ov«r an ama lunirli'iitl, 
lart[n to cx|iai« tli« i-ncirr rlirat frtiin ntiovc tlir clitviclca to below tbo IniVfT iiIm ani 
fti>ni kidc la Hide US fnr nn tbn aQ(rnot n^ilUry liiivn. KxpciMt the (rarbnii, nil U 
two linliiw (bo tbyiold curlllnjii^ liioi-ri n rtililinr tube ln(» it. and rimtiri:t witb thi 
liollowu i>T pniup. Tlioroiijtbly idi-an the ril>t. I'liiiilnjim, nirTiiiiin, oxti'tiul inlvi 
Matal iniiiolri, rlavirlro, ami (Iir origin of tli» ■toiiii>>('lr|ila luniiluldii. Nov place 
a iiarmw lap>'> iiinuuro or a Miip of wbltn jxijior, iipuii ubii'h (ho incliM have bum 
luiklkdl, from (b«>i|i|ii'i mnr|.'iuol' tbcDlciliiiiii (^njiiiuid'fiiitt lioCrti) »laiig tb«niid(l|i 
line to boliiw tli<> i^ukll'orm appi'iidlv. t'puii i-acb ciirlilaifv uiid ilb inilica((i Ibe <lt 
tanri' in lnolii'«. nioanuroil imnkveivtily fntui Uie niid »((<riiiil lino, Uj narrow alri|<a 
vi1ii(c ]wpur M Ion;: na Ibo cnrtlUifi- or tib ia wlilo niid placed verlidally ii]<eu tlic 
aaiiio tu tlir nunOifr oft nr i><>n oUhcoiidn'if tbe midillv line. Tli««estri|Hior|ia]>or 
will help very iiincb to d<.'((>rininiiiK Uie position and dtroction of tba varlouaiiba 
and onrtilugr*. Set up tbi' ciiniota vrrticiilly over tlie bubjet^l. fooiu on tlie nipple 
puiuLa (indicated by eirnill cttclea of nbile pHpurJ, and fix tlie foeiu with tlm aot 
•crew. Yon n ill i«*d Ino double pbUu li'ddi'ia A uiul II, and very alow pluion, iiniit- 
liering Iboaiyee AlandS, B 1 and 2. Take tberhoidneipiriiliininoplalea A land 
2. {Explrjt4nm,flntexpa*nrc.) Tliriiiiii'of Ibiioipamirc innsl iH-arlbo mliu to Uie 
full cxpoinre of nbout 1 tu 3. Inllnto the luaKi to in<idrm(u diBtrulliwi, ooun 
Iho number of bi'llont' ur pnmp fulU, and cxpinio philp* II 1 and 2. (tnnpintl' 
nr*l eipuiiuro.) 1.ct tbn uir oarapo from the lunu*. Kciilov* tlie sternum from 
tuwcT level uf the fli>t rattiliiKo tu tbo nppnr border of tli<i aovmlh, the Inotndi 
carlilaiiM nnd riba for a di>lnn'-i>nf lor r> iiirhn* fVoin (be iiipdlnn liii'. IM a 
i*|>*ii Ibo pleur.i. Kuw iullatv ibr ^nug^^ uttb the Minu nuiul)rTo( bi'lbiwa' ur ihihi 
fillN n« Uforo, 



«n 

1 



SoftJECT I. 




Mft. S. -COMPOSITE PHOTOORlkPH OF CHEST AMD LUNOS IN INaPiRATIOM. 



nuunv uDWwBod. 



PAN-AM KUICAK UEmcAL CONGRESS. 



1171 



I 



xBl (ii>«|>lr*UBii, m««ik1 VKiiawini; |it»Hra Dul iipanoil].— Opeti tlie pl^iiral 
Fkai-K ami tcmiive tlic aniehut tiirtllniM. 

JUfiin n t (ins|>iruiiai(, *itL-imJ upMOrej pleant idibovihI}.— AllffW tlto nlr to 
^|H) frani tli« luti)^. 

Brfote A 2 (exiiiratiuu, «a<aiMl «xpmiir«: pi^dnnliiiiu ioMol), — Removv Uip pr«- 
f •riitieE |«ttloii uf ItiD iicriciiritittnl frtim Itaaft bihI g,n*,% voucU. 
K-ifiVf A ! («i|ilniUun. m^'iioiI (iX|io*;iri-; iionVar-liiim rcMOVcd). 
Ttti-M* ]>liut«iitH|<lia will |[ir« ,vuii ilm ]io<.iliou ol tlie lunffi, wllb mid nitliual thnir 
plouTii', itti<l of llwLcHil, wilfanml wllltouCili. fHrlcnrdiaoi, njioii lli<> ebntwnll Itmu 
I It bicli llwi iirmuBi']' inriimimiiii-iilA cuii tii: nccnrst")/ i)c(rnniiii.-il. 
By I'l" |iipii'<llii|[ oictlidit lliu foHuwlnK twlatloiM wore al>tniii4i(l : * 

Hmhi'cl J. — A<IiiU iiialt* ii<i;!ti'. R|ii>arcTill]r utii>ul Si )(«r» at :u;i>; cniixo <if iloatU 
uiikiii.wti. Hiilijpi'l liAil Ii'fii injroieil niili vtloiiilv t>f nitic tttiilRtiirrli ovluf ibU- 
Tutv •■ilplliilU; tat AiKilllr^r piir|H:»?. Iiiil iriis ii*i>il (at thl>i i>X]-r)iiiiriil. 

(Ai Nl|i|ilii4: 1.U1 *inl »v<ii cli<> lu«rur tMlfcf Iho (ttinU rlli, •Si Indira tmitvcnoly 
from iW miil-nti^iiiiit Uiin'.auil ■( a {lolal on tbnl liuoS itik-li<;» frnm ttia siipraAl^nial 

niit-' ' -'->;'. 

I I iitiiii lull ■•r*!) lh^tvl]•tull hy tlin ltij<'"llim. nud n|ti*TuKitnali!l]r 

rijii itt lu iliMlolu, Il» rrlJiiinw tiorr^ n* fiiU-iwn: 

|1;1Uim: I hio ii> Ukni n> lliD ii]>]-rr limit ii( tlm Iiourl. It i« I nil lea toil liy a liue 
dnivn •■'ivMM tlir ■Icniitui CfJiii jimt, lifliiv lhi> niiiMIc uf (lieM-cdnil ititi'i<'<i>tal jtimro 
un 1 <Lilr, IJ iii<linhCn>in ll>i> ink>l->tfiiinl lliif (iit lli ;i I. f.} tu tliv Irlt U> 

rii>- ' : 111 liiip I at llin ^l 1. I'.) ami rliil nt Ihr ii|>]>rr iinii l<>ii i>r ltii> •uvolid 

li-ft -ii... • , 1 • iiicUxk fioiu tliii mill (tctaiil line (o{>)>>»ilo it* li) l. I'O- 

i2' \\f)L: lleliiuil 111" rvlilPf «f tlw Uf(li ltilrr«[>Hco 'H liirlic* to tlio loft of tlw 
nmllHd IliiPfni il>T 1. i'.). 

(3) l.«II lioitli-r: I'tiui l)ir li>n ntrrnitty i>r tlin t>ni» lliw doiriiwnrd nuil «ll)(Iillf 
iHitwunl KirrtiM llietliinli'iMtiilorlilnx'' -li>'-l>o« IVoiii tlir M. ^ I., (at iiaSJ 1- !*■)• 
luwiinaril iiiiiluiiiw.ini iiiilll llii- f»iirlli mt>'i«|>ucu l* riirlii'il. tlfu 
It it |>Ii«ti-» li> tlir iij.»Ml |>i>iiit. 'riii» line crtwM-i tliP fimitli Iflft coNtO- 
.l.ni.ii, "^I'l t, ,1 :;( iiii'hi-i. (r<ini llir. M. i*. I., (opjioiille 111 U I. 1*,), tlni 
f •>■ nlilrli It in -Jl iiirliiu fruiii tlie il. ». I., (lit lt> 6 
'.viiiLiiiil mill Inn nril. cmwiu Ibi! Attli cdrlilnKn '2\ iiictieo 
' I. I*. I, uriil rli'lo lit llie a]M^x (tu2). 

■ ' Ihi' li^lit tikI 111' ilic tiiuo line )iniu«ii untwanl and 
< ' r r,„i„) i'iirli|j)i« If iiK-licB rrom the M. S. L (at 3) 

I /iiinlli (vitnlcnrlilaK'' U in'liet ((uin tlniM-S. 1.. 

■Ill I ■ I .■ lalliT tlir Ti iiii'h |)uiiilii. rcHJii-i' lively). It lutir 
I < iiri>B >lu"u<M>i>< mi) iiivtiii<l. unit l.-ntiiniilui nvitt ike oralcf of Ui« fifth cuttnl cm- 
[lilaiT'' M iii''l"- •"■111 Itii- lunliaii liiinfLiI III. 1*.). 

r 'I'liiB joiin ilie lnwpt PBil» iif (lin rintt iiiul li'ft liortlefn. In 

• a miv,v ciiiiiic. nllb II coln'nvily ill eiirli enil lookllif; iijiunlil, 

. uiiir, iiN it vroMiHi llir iiiMille liiu-, lonkiiii; •lotrnirnnl. It i.-ri)««i 

-■•miitli riabl canllil riinil.i'.-ni lriii»vi!r»i-ty li» Iheir loiiu nKw, llio 

' H" r.J I, I'.. oT«r iLi' miiMlo uf tl.e eiikilonn. and Ito iii>veotli l»ft 

■'i'llirly t« li-ncll Itf. liiwent point bI tli« loWM iniir^nn "f tbn 

. iiirim to lliu left or tbii XI. S, L. {ut 7) 1. 1'). tliFii luriii 
iru II. J. 'Ill llir lowrrrximiiity o( llip left Ijorder at llioujiex. 

M{wr mid (Hitot (iii;lil) tiotOers arr foimeil by Ibc purliunH of tho 

Mr Unft of I lie li>i:irt ciii oif Ity n linv irhjfli funniilie iuucr (Irfl) 

", uiid vliii'h "liiT'i riimilhe kiwc liiiu uik-- Foil rib of an inch lullie 

II hnr mill i i irclly donnirnrd iiiilil niiiicifile ttio luuer 

til-bt I'll-' -I'lnt Ibi' 3| t. tV im the M. S, I..); from Ibi* 

' ' ' ' i|- - I ('•-'•int; untttjnl ul>'>iil ■•jrallvl witli Itio luwrr 

^i-, iiiilil 1 inch ftoiii titu M, S. I., (••jiposili' Ilici I 

,' ilimitvianl mid intrmi-iilH the right [.vrdn uf th« 

..'■ til iIhi luiirib rii«l.-ll I'urtilagti. 

m oiilv n x'ury sinnll balf-aiooti ithii|wil tpKre boiinrfcil abov* 

I I'nt pDiiinna of tlia bu* nnd Utl bordorof tli* 




■ 1 MI'.*l<NMt |i 
■4 Auw (k* *H| ' 



.- l« ••M t«*rvM a cafttt>(a or IntsnMUl tpan al a cntabt 

th" w'ltiiii'iii-il U alaa;* nikt* tnm lbs triilx nr Ihr rtridM* w 
Ti> luHl ■'■ 'hil lliin will t* nliTTol !•• I>t 111 Ih.IUU V, K I... Mil Ihi- 
M ' nl 4 I. IV HKMii 4i Ibg C-lMb ^liil on Ibenld Manuil Uaa. 
I >baaabM>l) tMotlnd. 



'-- -'** 



1172 



PAN-AMERICAN MF.mCAL CONfJRRSR. 



licarL lU iDticrniar;:in in iui^ipntud by n Iiii« <lriiwii from m pninl on lti« liMC liM t 
jncti friiin Xbe iuh of tlie M. H. I., uml curvinu ili>wtiw»rd U> iiiliMveirl tlie luA liaritor, 
wlietv il iroKM.-* IliF CL-utcr i>f tLu lliiril <.'urti|jit;<'. 

(I>) Aiinoulo-teiitricoliir ttiaovi-: Tlio tnn i<xlTt<ii>ilii-H ur tin- lltip Imllc-alhig Ihia 
ginoiB coimjiouil 1" tlic lowtr Imlve^i.f llie iiiiuT l"inlrt""f lllf niirirW, Tlii^ 
(viilnit portion to a Ihit* riniTiM-liiii; lli« iiiiiUllt- ixiinrH of IIiom liimlcn mid cnrviiiic 
kllifhlly upwsril an it (riiiwni tlie vlfirntim. Tliis mi4lil]c jinttluii In<llc«lm1 Ibc Una 
of junrtioii or pnliiioiiai) sriviy uiiil light vcitliirle. 

(El C->irutiilr.v Bilerk't. 

(1) Rifilil: llttnti from llt« uitilitlu )>oiiit of Ihn liiiior bniindMTof Ibn ilgbl •itHcIv 
1 inch rniiii the mailiJin )iiiu iloiriin an) <n n nciirly olTnlKbt cimiikt Io llic inwrr 
border nf lli(^ lie.ii t lliri-o-l'miltii ol' iiii iiirli I'tniii llic M. i*. I.. 

(^) I,(>rt: Tliis 1>u;;iii4 ftiinilurlv %l Ihu iiii>lt"ilii( of tW tnuer iiisruln of llie left 
auricle mid iIimvi-liiU uiiricnt vcttieuily miil aliuiit Ij fiielim IVwii thn Hitil*»tuni«l liti« 
tu tli« liiwoi Imrilcr of llm liciirt. 

(F) t.uni; a:ii> n( Itio liiuKt; K<-:i''Ik>» ftiiiii llie liylit Olid of til* htutf Una ta Ibr 
nppx. II rtviti-H tlir iiit<l»(i-ii)»t tine [»t it* 4j J. 1'.) ujiptu-ltn iW Runtrniaf lliv 
Htfiriinl criilH nf llu- foiirlli riiriilvKi'*- 

(G) Au<u of i-iiriliiK* ■1iilliii's» iliiriiig lii«|ilnil)ou: It if ■ qiiiiilril.-iiTiil *>]■»<»>. 
Iioiinili'd oil llio rltl'it I'.v tli<^ mvilUii liiiii; lioloTr liy ttie liiwxr Imnlnr ol' tbo bvurt; 
libi>vi> bjr II titii' diawii fcniii ii )ii>liit im liio mid-'tcini.tl iliip (4f I. P.) o|ipuciit« llti* 
cciilont iif tlio Hlriniii nmtH of ttix fi»irtii can lln^jn :il'tiii; tin- iii>|»'r tii-irfiin nf |hp 
liftU Irlt cnrdlniii' It ioi'l"'-" from tU>- M. S. )., in[ii>iiiiiic ll* fif ]. I*.); au'L <•■■ the b-fl 
l>y u lllii< fiom tlir Inm point ilou ttniml nntl Inwml lu i-ioeiii Ilic Ii>w«r biinlnr of lli« 
Itrart i)ii<-i--fi>Tiitli« of ail liicli (t> till' inlt nl' itip iniMliiia iion. Iton^lily nlKtnl ttilt 
ami in IIII liii'li iind n iiunitrr iriiin to Ihu loft of lii« oicdinn liln', Iiitilted iiliovc by 
lliii ii|>|i<-i iiiiiiKJn uf tli« llltli left oarUlaKi-i mid l>ctoii by tiic low«[ bordor of tbc 
livnii. 

(lij Aortu: lla nxU fonciponila t« Ihonitdiitn lino an faraa it In »bo«n i» t)i« 
l>li«lveriipb. ItkrielitliiiidciboiiiKDiin-hiilf inch lolboiishtsnil it* left thn HflnuidU- 
tniic* in thn Irit nrili<< mcillaii lini*, thn foruicr rrAcliiiig from tliu tuiv' iimi-huif ini-ii 
to (ha rii(bt(if the M. a. I., I, mid tbo lnttl^[ njipi-iiriiisnbove tlie piilmoiiary iitlcry and 
l>o(li dlmppviiiiDii under thn iipppr iil<iriinl lMii;iiiml. 

[]) I'lilinoDnrr nrtnry: I'Iiih ocnipit-ii tlio jnlrrri-uiiig apnpa bctwtvn liio atiTfclaa 
and ia liiiiilrd Wlaw by Ilie line fur Iho aiirii^iilo veiitrioiilar KtooTC. It ia nli«nt 
H Ihcfaiui U'iili! nt itfi hti^c MDil PXtmLlH Eiliuvv Ibn ba.'^e line ikboiit ono-balf incii vrbenf 
it dianppnun niidcr tJie iiorln. It coiicriilii tbc ori[;iiior Ibi- hn porlinnof lbr> aorta. 

(J) Wiiiietior vMia ravn: This uliowii u« ni-urly vcrlicul niid Ibroofouriiiii of uii 
■ncli niil« iiloii)[ Ibe riifiJl aiilv of Ibe norln. Its ii|;bt buidcr tii-sfiiia from liio point 
of iotstwYlion o( lb« tiiibt limrl Ixirilvr ami tbe npiivr iii;>i*^iii of tlie Ibird onalal 
carlilagp. ami tiUHi«sdltT<ll; niiwiird to diniipjiuiir under Ibe iipprr alerosi fragMient. 
Il* lell bordfT is in'liriiTpd l>y llifi oniiie iiiiv im Ibi- rielit niiiri-in of Ibc iiorlii, 

(K) l,iiii;<<: 111 iiifpiriilion (iii'><triHt>']y iiilliilirn and couliiiaed wilhiu tbs 
utiopi'Eied pii-iirip. Tlirir aiiliTiorclstti iiloii" traced. 

(I) Kiglil : Tiic aiiliTfiqr bonier of liii> ri;ibt liiiisiHntmrly vorti«al fora crniaiilFra- 
bie pniCnf its «xlvnt, It-ippcnn (in Uii>pli(itc>]!"i|ilO inMiiii|^ fTuai brucntb llio tipper 
rnij,'ni*iit of tlio kti-rii'ini iijitiDOiCc tlie 1^ I. I'.' of ibc' M, 6, I.., anil digtiitil from it 
••ii«-liRif iiii'b to tb« lij-hc. lt|iniu<r4>lownv'aid and iiiwaiil lurriMB Ifac nitdHtntm) 
lino lit il« H I. I'. I op I. (Ill In tbo flr"t biiei-iun-m jiihI ruacbw "ue-fciiitb inrb liejuml 
tliu I'l'iiti-r lnn- liiMiiul tbe li'fi, Kr.iiu lurw il ilrnrctulK vfTtli-ally piitnllrl wilh niid 
oiiu-i'oiirib iiii'b liiiiii tbe ini'l'llo liii« ntitil on it level villi (lie lenh-r of tli« elvnial 
rtiitauf Ibe liflb I'lirliliiKti* (oppimlio tite Q 1. I', on T.bn M. K, I„). wtiou il liinis to 
Ibo tiKlil, •■ro'«'"i 111" iHriHaii linn, niid jiimsfn ilnutmiiiil und uiitu'md, follouing 
Ibn ditiK'Ibtli of tlin ii|i)>i-t niar;;hi ol llu- «iil1i nirtilnur'. 

I'Jl \j-l\: !(>' otil Itii'* iH nK'r>^ ii ir iiiiliir tbnn ibf rijibi, a* it bna a larfie iiotrb fnr 
Ibn ni:rnniiii<iilall>in ol' llu- b'liit. I.ibo llic Ti):Iit, it comn* oiil frum Ibu npiivr |>ur- 
tlon of tlio iU(.i[ii;itii tile miiiie (liotaniin to thn Irft of Ibe midillo lltie al llie iianio 

iioini Hi '- ''-i'l |taiMHu< donnirard toward tlif> liitiil nnd inenta the rifibl I'ine on i> 
evrl with thiT nppor bnidnr of the acfonil «otlid rarlil.ise* (iipjioitltu ttie - 1. I'. i>U 
1bi< M. S. I..)- Friitn Iihit t!i« inni't l>urdeiaof tbc tn« liiiiK* l*vnjratrd only by tbv 
pti-itrmj mnaln in i^loMt ront.tdt until opiionite iba miibtln ji'iml betwcvii the fonrih 
c«rliia)[M (4) I. P. on M. ^. 1,.), wlifn ilie lefl lung abi'ijilly li-av<« (huiitbtir and 
jHUUtcA natwani ntid dovijnnr'l |uiiillr\l mlb tbe upper border of tli« flflb <-n»liiI 
eurlilaga onlll Ij iecben from llieM. )>. I» (opponite iin of I. i'.); It now piMMu dairii. 
ward and ■li^blly inward until Iho aixtb ciiitiloiie it icii«li«4l, wbicb 11 f»llowaotit- 
ward to Ibe b-fl aloni! it* nypfr miirniii. 

(8) Thii nolrb in the left lung eipimr-a tlie lower portion iif tbn boart niiil form* 
lb« 'ipiwr nnd nnler boundary- oi" tbx area of ibe benii expiued In ioi|>iriillnB. T^ 
JniMT 1,1'i'kt of ttiiniipnce agreM with tbu incdinu liii« aiid ila lower wllb I 
luarjjtu of tbu boult. 



t Uto lowac H 



Subject It. 




tta a.-00MPO3ITE PHOTXMRAPH OF CHEST AMD HEAHT ; HEART COMTtl«eTCD. 



I 






k, 




Nk 4.--00MP0aiTE PHOTOORAPH OF 0ME5T AND l-UNQS IM INSfflttATION. 
EVunr iiuoiinifld 




|•A^f-AUERICAN UEL>ICAU CONnRESS. 



1173 




II — A >l III I i'''>lt>; while; about 4S j'darn i>f B|fe; ntiiie nf dMilIi mikauuiii. 
Hnl>! I il wilb ciiir, rlili>iitlu anil )>lii->lrr iHi\oi mil line. 

I ^ I .;■< trlllllllisl Si ilxllTII I'tolll lIlO lUllliail lltlC Oil (llO UXtlOIQO 

tan I I Itiurlli i'il>. As Ihe ivtt riba eti)|ie iluwu slij;ljtt)r yiirlber Elwn 

Ulr • lliat nliiit lufi'ri'il <o lliv niolisn line the IfH [ii|i|ilR ih unn- 

r»tiiit> ■■.'' V. JIM-. >'T il.Hii till rlulit {ot lli« luft iiio|>|M>3iEit ItiH 5j t. r. aiiil the ri;;[it 

«i>i><»kti- iiio r> I r, xii iiw M. t<. I..). 

I If I IIi'Hrl; 'I'lip aiiiii'tivt ariO nniU wvro jiijerli>il, bill lh(> vvuliii'Ua norv duI ami 
wctp in » HiuU iif llnii cn<ilr»vU(Mi, anil »a rrjiruarnt Iklrly acentslvly tbu jwaHioil 

l>r thf tH'lllt III •JTHtolc. 

(I) llaMi: Tlil« 11 iiirlir.inl by bIIiix Tto'o jiiirl itliov* tlin niijifr imircin "f Uic lliinl 
ttuUt •-•mtal •'Bltihii:<-, H ltii'lif« li"ia llii M. R I., lul Um Kl ]. K>, rininii iKiroui 
lllt> ■triiiiini tv rii<l tbi>'i*-f>iiiitl>>t at mi iii'li (o lli<> lufl iif iIhI limlUll iiiii> i>I>t>i>iitta 
Ikr miti'f of 1|m< M'-'iifiit liiliitV)i[it<i <al tlin Hi I. I', oit M. H. I>.). 

:f I \[irx : OviT Ulr ■'■-utci 'il ilio nuvi'iiib Ml viMtal cartllajtn, tbr««'fiiiirUis of ati 
Iriiiii III'- innllau liuc (iiiijwiiilii It* ij I. K|. 

Ijifi lioolvr^ KruiH iKn tefi iMi||ir>nilty nf l)io Iibmi lliir Dnnrlr T«rilo«1I]r donti- 
i ia ■'. 'Iio <-iiiilUi(<ii uf tiMi tbidl, fonrth. Ilnti.aiiil altlli 

rllaa ul .1 <<l nil luib rixiiii tlin M. S. I.. (oii|i>-iitu ibc fi>lloir- 

iR); |.r>iiir I. I'.; I<iiirl!],& (. V.; Ill^li. 6l. V.: •Utii, 7 [. I'.). 

Ill Itiutii l>i>iili^r: I'rimi liiu nght (xlirmllj- ■>!' tbi- I>h>w liii« dowiiworJ niiil 
allxliMy uutwani t4i Itm iiiiil'lls of Itrn fuiiitli i-<mij1 r^irllliiicr, If liiobui tu tli« tiRht 
of tlw'M. Ft. I., (ut lU A I. P.). Ill ■.■tniuiutc tlii> tbiiit rartUuKi-, it ia It tuclica riam 
t\iv •MUM line I'al iu :i[ I. r.}. Tho lini.- now t>'i*M» dnwiiwml ami inu'nnl to tlio 
Mtiibr i-f tlt« Dflli •Jrlihixi', I inch rinm tlio M. S. I.. (Djijiwitc tliu 6 I. I'.). 

lAl J.ii«ct NmhIit: lU.illj- rout 111 m.-" tlm iltrerltoo of llu- MKllt kinder fiom tlia 
l^at fHiDt bImivi.-, (liiv<iiv,.ir<l nii<l iiiwiinl inn iit^M'ty «tr.ii(;b( iliri'i'tioii lucron Uia 
tiHiliuU Illi« 111 Ita 74 1- r. (ivi-r tbi! xi[ibu *tcriiBl ■rticulution. Tu llie left uf tll4 
'Inn Ilii*- it ifmruiiiU a iili(;bt (II»i*di!l> ds il piiiim ootwanl uuiil alioiit tbrev- 
r<' '- fioiii tlic %taie. when it tiiiiiJi iijiuiitd tollie upex uuil Juliia tli« 

' lilt li.ft Imr'ler. Tliii line i" tliKbtiy <Kitii.-av*(Iuwuwartl ami 
... .a it crcdnua tliosixlh niid wveiitU tii;bl (MutilngM. 

l'T>"iciiU » ppai'ihupwl D«itl>ii« iu tb« photosraph, ita iipp*T iiml 

.' fitiiDCil by tlio ■iljuiiiiii'^ iiarlsuf Ibsbnte nmi ri^cLt bonier of tlio 

bwiitt. I i>itii]»iy In iiitlicuU-il l>j a tlni.' fivm Ilio Uiiui ouclinK iucb Iu tbo 

af 111" in"<ii.iii line. iba^tiiH i-Ffiii'iilly downirutil fnr Ibrrpfuurllin uf uii iuvh, 

ttnwiinani iiiiil »iiimir'l to iuU-iicct tbu rigbt Iwnler vhi'M itrruHMi« tb« iip|ii'r 

Dof Uin toiirtb tmlal cnrtiluge. 

1.011: i^b'iu* aa lli« tnureit otal Bpat* in llio iiiif;le of Ihu bate line anil Irfl 
l^r, nii-l litnlt'-'l i-n tbe ittnidJe by ii line dinwii downward sud iMilwaiil fnitn a 
Il alf iiivh In ilie left uf Iha iimhIUh lina CO (he lull bordAT nt 
tbiTil rudtal r.irUhiui!. 

' !■ - ■ t '■■■"■'■'■- f"lnt i'itb*r?ixlreinily b.vlli*lowi'r 
iiltal tHji'iiun by juiniii); tli'M two 
n r < r<>Mi.-9 tbu U. H. L. (at lt« i 1. I'.) 

I iia vf U>a Itiirtl runlal curlila-'eB. 

- out Itnm nnder ihn toner and ruid'lle tblnls of tliu Iniiar 

I I 1<< nvarty 1 liicb to Ilic ri^lit uf ili" ii><'-li:iii liun, :Mid with 

. , line t>i tli« ri>utiiirt>!d nljiie uf Ittn bvoit, pouue downwant 

llii> lowvr tiuTilvr of Ilie lic.-irl, 

iiriwt <it) ll>i> exlreiiKi Ivfl of ihe boiiH. imiiilnit f^in tbo lover fior- 

.:.u; iiucitln of tbe Mt aiiHilu ami ilpmii'llni; diniolly to tfae itiwc, 

ill'inDru feoiii thrlrll ut tlic- iiiuillnn line fr»m t1iii-o-fo«t-lbs«f BDluiih 

'liril (<> iine-biilf of nii iBrti In tlio lower llitr<l vf lie <«ii»o. 

' re of iliri hrart : Truiu a iwltil on tlia baae It likrlte* t« Ibo rlichl of Iha 

' UioaiMX. TlilxiirourtiliKiuidilleaf UieataruiiinfamNiallflbettl, I'.) 

I Iviral iTilb Ibn lowrr boidrr uf the liftb cirllliKna. 



iTTn" 



li 



Fl»"« 



. mr. 



((!» Ar-a 'if It'.iil f-i|«"«~l In tiiii|>limliiu: tJwIni: to !)■• coiilrni'Ifd aUte of thfl 

' I " Irll i>f Ibn nild-Htrrnal lliui uml linluw tlie Iown 

i<i iiiiruvrml. 

f'l '.->. i I I- ia •hiiwn by a line rrom l)i« rljrbt cilrciiiilyof 

tbu I .V ujiu'iml iinixui tb« M-riind otxtal <-iiriiln;;i' t| iTi<'ti<-B from 

IW ' I i'.) Ihi'ti I'lirvrtt u|iHaid and tuward Itio Irli tc pam iimler 

ihn u|>|-«( ■triiial lii>.,iii> III Ij Int'liM frmii lli<- M. 1^. (~ (lit Ihn J I. 1'.). The left 

tmrdat la RnVrinil ill iin In .^ii.iiliij; by l)iv txilni'iiini)' trtr^J and only t<linw««t a aliurt 

' " . .irbltic irifiii liiK Ixvrl lit tin- liiwi-r iiiBrKlu of tbo iii>ri>ii(1 ri|;bt cmtal 

funrth inrb limn tbr nirillmi lino (at 'i\. P.) (ownnl the lelV %•' r-utta 

— -ua Uvrl wllb tlio unlKj-iaaiirlii of Ui*»acoiidCMta)e»rlllMM(at tba 



BStfe 



1174 



PAS-AMEKICAN MEI)I€Al> C0N0ME8S. 



Ill Ptilmonnry iirli>ry: OcrnnlM Uie intrrouriciiliir Kporp; 
pAAtp* ii)>i>'niit, «iirittiit luwirxi iT 



wJIb thU nriOlh it 
iLo li'ft, Mnil ilMii|i|>oan on ft level wilk Uic xppi^r 
iMnIrr ortliii Kcroiiil initiliiei-H. 

!J} ijiipt'iior vi-uu cnvn: liOL-a not iipprnr hi tbo pliutoirrnpli. 
K) LiiiiK*: Id intjilrntion (nioilctnli'lr itiflnlol; iiitlai«<l willim tUe iidojmikoI 
piMiral UK*. 

i1 ) Itiiibt: Ap[ii-an fmm umlrr Ilin nppitr rmaiiictil of tlic iiU-iiiiim 1 iiicU to tba 
rltflit of ilie M. S, I,, {ill iu 1j I. 1*.), pii-iii» dovkiiwiiril uml iiiwiiril. ikiwim tli« 
iiiiililluliiia im ill 2i I. r.) upponito ttie iippiT bonln of tbo docuu<1 rnilibi-ta, fon- 
tiiiTicM ilB rontu- to iiliniit niii-fouilli iucli Iu Ills Irit tif llir tiii.-i1iiiii liii», ;inil lllvli 
ilni'DDiU DrHlIx piit'illrl n it)i the Miiuc-, iiml il an a\r-ine'^ iliilutiie finlii it of uiiu- 
fiiiirtli inch iiiitil iip|-N>ili' thr iip|-(-i- m»rKiii uf tlic sixili cr<aTa1 tsi'ttlsgi'a (at tiKi 
(■i I. P. oiiiIjuM. a 1..) it lii-uiisui ilKTi^-liI. cro*-i» tlicmi'l -skruiil lin» (»« Its «t 
1. r.>, anil riinn oiitwuril uciil dowiinacil piiTnlIrl vitli Ui« iipjirr uiut|;iB of Uw 
MviMilli cotlnt riirtilnce. 

('i\ l.oft: This i'liitnt I ini'h to Ihi' Irfl of lltfl luciliun liiiiioiipn-il" lhvsiiuioi>iiitit 
ni iiirb) iia thi? Hsiit. iiicliriirn ilt'itnviiinl iitiil inwiiiil imdl ul lht< lnwn nwirj-iti iiT 
the ovt'onil ['orlnl cai lil;i);(i i, It-fl ) il liilii-n H I'uiirec |Kirill('l mi til hikI nruily lulf nil 
lui'h fruiii till) I ti'fl of thrt iiitiliuii 1iiii> until just liuluw liiu loniT tiunlir of ih* 
fiiiirth 1«n rutliliii-u |ut tiio 5( i. P. in M. !f. I..), uIjiiit il iiiriis lr:iiirtvci>vly oiil- 
TTiirit fut oiip'h:ilf iiivli, Iliuii ilouun'iirit ntiil tnituiiid (<■ th" Aftli iiitrt<:o>Ial t^jmii- an 
inch frtiiii t)i« M. S. L. lat lt» Ht I. P.). It now lifTida Ininiinl lo iiirol tliu iip|H>r 
tti;ii)iiii nf Uiii H>'«i'iith niaiiil i'iiii>1:ic<'. Il«^n liirn* uulwaril iituntr tl>« npjiur iiiAiicIn 
iif tlip siuii«, Th« tn » liiiiun comx ill Mintsut for unly onn-foiirlli of no inch opiio*il« 
th4> lowrr tnari:iii of IImi tlilitl raitlloc'-' 

<3) The sninniit of hnirt nncumml tiv (ii« left liiii): !■ In thla cnao an ar«a at tlio 
Idt of thi^ init'li.in titin nn Inrh udli- nnil nnirlv J InHim liiii|i, roncliltig fioni tbo 
lowir luTilir of Ilin fdiiTlh to Ilint of Ilia iii\lli Inflfartllnjcv. 

■Subjeri III. — Ailnit IViiiaIi'; whltKi nlioitt Jjyrnn uhl; w«II foiinod aitili|alt« lulM' 

cntar} pTti)>iililo I'aiinit of •Irutli iiii<-iiiiioiila tiloi]l-ii>i. ^ul-Jei^t vna not liijoctoil. 

[A lilAri-'itt pliin linn fdlloiii-d In tlii* iiiKTjiiei.- from lliiit In ihi- two ]iri'reillnj[ ohmw. 

rTlie ftiilijrr'i WLit [iin<lf alniipdil to ■ tilting taliln iinil minpinili-il by tlie Deck in a 

nrurly Tnllvnl |>nill.iim. 11i« ritiurrn wan ailjiulril, focUKril, nnd net. Tlim ncg- 

UlWra nf lIuteliTAt ilHifnro nnclaflj-r iliuH^Rtiinii. of tbo brart ktrilb anil witliont tko 

L.pnrlfarilinnii, anil of llio liin|;ii w«tc iiinili* vithuiit ilintiiibinu tlio mibjcnt ur 

[•ciunvin. nnd tlicie ni'KiitUw lit upon cnch "IJmr ]>iTf<Ttly, no that nflur prinla wcro 

mnilo tbi> mriiaurtnKnts nnro uMainuil l>y iiliuiiig the pliotn^inph of tJi« heart or 

luDK* over that of Ui« oitciior of till.' IIidhix anil liiiclng ujiou tbo latter tkooul> 

llnMDf Ihii former byprivkitiK lbi*uii;tb tlic twnuith u pia. Thia niclbod |[iv«« 

Booil r»ii1t« pnjviilcil irn rhao(;o of foi'iis or of Ihf poiiiimi of ■abjoel or «am«r« ia 

Uinile. Ah Ibo ininifosof tlutilFriicr ntntclnrrM lire nulobnctinnl by thune of (he marc 

■npi-tliciiil oa<y<, prrfril oultiiiri of the heart, with i\M rcmula, ami uf tb« InugB CilU 

lie obtiiiiivil by till I lit;! (lii-Di nn abnVe tlionu, 

I A) Nipplet: The biuusta irtrt! aniall (fur a female of thin niie) and Urn. 

<]) KiKhl: In llioceuleruf Ibo fourlb inlur»)iuco4SucliesfTDm UMM.S.f..(opp«t. 
atteilaAtl, P.). 

{U) l^ft: Uverilic lowm- margiu of tbe fourth rib, ^ Inobi-a from ihv luid-olerBsl 
line <at tianio piiint an nbovo). 

The rlliH oti Ihi' l«ft -lilo rnrvc >lo«'titriiiil slichtly inoK' Ihnu on th« right, mhI 
tblt nrroiiol* for Ibi* ihllnri'iit irlnti'iim of tb« l»'u ni|>iil<n uitb tuferenre to tlu) 
tboiarir wall, ttrfmii'il lo lbi> inriliuii liciu tbi-y nru ri»ri1> uu Ibe sum* level. 

(It) Ili<art; This urKon, Willi lu t*»««l*, waa only luudiTatrly ilistenileil with 
blnod. 

{I> ItnM: ll««liia In Iho criiUr of the Ihlnl [iifcri'|iiii'i>. 1) l>irh<-« to IIm tigbl uf 

l.&L.(nl it* * I. P.), rnivM (.liKhlly uiiwiml ii« it i'n»n-> (■> ibo Intl l» cro-* Uiu 

^Binllnn lliio (at It* 3t '- )*0i on a l«vi.-l with Ibu tuner Loiilnr of tbo tblrd niwtal 

rarliliijci'n. niiil I'uil* H IndiH to Ibn l«(t nf Ibn M. 8.1'.{iilta3t I. F.>*t Ui« lappoT 

toaitiln of the lliiril <otti>l rnillNiKr. 

{2} Apex: Ihe npiM: |:oint t» ni'nr Ibn Intrfi boiiilrnl nrlt^ilation uf Iho tarlUageo 
of (he ntlb anil nixth leJt libi 1^ inchvi from lli« M. S. I., (ut li» T^ I. P.). 

(S) I.nl't bonier: llrjiina al Ihe leftextrrniity nf thn bnnit line, paHtcM doirnward, 

ioclininfi *li|i1t1ly omiranl nnltl thii miii'lli' ni tlin finiitb iiitri*'|iai'o la reMbtnl. i 

incbeH I mm lli« M. S. 1,. (utila l>| I. P.). I'luiii lii>r« It turn" ilnvinuranl andtowanl 

tbc riRbC lo rnd nl Ute awx paint. Tho Inft Iwflur i^rmuM ilio third roMal cnrtlhiKO 

H inirhctt from tho M. s. L. (nr Sf I. P.), Ibn fonrlb enitilncd 3 loiiboafhun th« 

EiWue (at tb<; ftt-inch pniui), and tbs llnh nrntllnjce I] iin'hi** ^nC tb« lit I. P,>, 

I (i) Kigbt border: ViCrnils from the lijtlit nxlteiTiity of tlio baaolloo vorllwDjr 

'dowuwanl to the cnuter u( (lie nix tli cost il ranib>i:« 1 inrh llom thi^ U. !?. I., (nt lla 

Sll.r.i. Thin bonier «r>MiiM tbo funrlb und fifib cjrti]ni;i-> ul tbn aainn dUlaoe* 

fMu tbo uiodiMi Ubb fths foruMO' t^ponito the 4| bhiI Iba latter tba 6 1 !■ l'>}- 




PAH-AUBBICAN UBDICAL CONGRESS. 



1175 



fni I.ovri'r tx-rilor: I* iiiiliralpil liy n line rrum Ihi^luncr I'tiil of tlip rtulit lioiilcr 
ilrnwn iliiuxiwiii-l niiil In m aril III" left [•'i.-riiM llii- nciriitb HkIiC •::irliljicn Irotiii- 
TW*«I>' tn itn (■■III' nxin. 111" mill nt<'r<>;it liii>> (nl iU 71 I. I', i, uvi-i Ilia iiiiilille iif tli«> 
Ifurm, con (I II II en slill ili>viiiH;tiil niiii luwaril llie li-fl lu tlic cbiiIim: of tho aixtli 



4>i1 



(uaiial rar(ilii)^ I iiu li rinm thu M, i^. I. (itl ilM 7) 1. 1'. ), (lipn (•urvm upirnrit lu 
X [U'liil anil mDtiPi'l witli lb« ]i>wi>r iKiil iif tb» \e(l liurtlrr. Till* lln* 



ftveil ii|iwanl luiil to lb" l^ftlut Uor<>KWH Ihu tiioliuti 1iii<-. 



<!} Kietit; 'Die lutn^r linnlrr L« inilii-iitnl l>y ii ltu« wrIiirPi Htarts finni tIiDl>iui(inn«- 
fuimh of Nti iiidli to tliv luft nf l)i« M. H. I... tuiH-^M vt'iiirnU)' (loniiwHr*! iinMI i>|i|io- 
•il« tlip iiii'i'll" iif 111*' xlrrnnl c<ikIh of tli<! fimriti cartil^ium (iit 4{ 1. 1'. of Ibo M. K. 
l_ l.w)>Pti> lL(iiriiii(nw«n1 ibp iiKliLiuTtiM tl>cai">h»ii line (HI ii* -If I, I'.), Iliaii with 
Aailsbt vaiivcmly ■'•vruril llii> iijiht hli»ii tiler imxtrH i» iii»i-i ilic i-if-lil borilvruftlio 
liMLTlB* II trtHfvA Ibn lnwft iii^rjilii iif llin liflh '•okUiI rniii]iit;f. 

llie uniliile U Ixiiiiiilnt im ll« u|>|>i>r »n<l i'iiii>i' h[i1i-ii hy Itiu nil,iii)tiiiig jiortioiii at 
lti« luM :iml rlicbl bniilrr i>r Ihi) liMirt. In tbU ow>o tba ARrklo riNtobM to ibe left 
vno-faiirlli i>f no iDrb l>«yoiiil ihn tiiMhaii Don. 

<y). t-rll DiU U n vrTv ainnli ■tmi'r "ut oD' itt tlf •iii|;I«ofJiiTirlli>n iirilic liaoe And 
Infl bonlrr Ujr a lliiri Ix'ukuiilni; wv>-ti->-luhtl>ii "f nn lr>r)i Id lb" lul'l nl* lhi> M, t*. L, on 
iIm Iiwmi linn ti'i-' • i -~"i ; ilowiiMiiril aail oulwarj t<i tiivoC Uio l<ilt liurilrr Al tll« itxrot 
narfi'n of tbi' : >t riullliitri-. 

il>) Anrinilii n larcinovi; : CnrrMnnnila t« a lino Joliilng tlio inliidle jioiuta 

I nf til' iBni-r uiii •• ■•Im iMnindatie* plna ILn lowor bnlvtu of Ibcao bnrflcr*. 
(1^) CoT'iiiiiT)' artrilra, 

(l> Kliiht: luiim from tba inifhr Winter nf tlin rlutit niirlrlnonn-hDlf lti"b to th* 
rlslit of ttiB U. S- L. ami pnuM ilonnwaril unil lnwiinl Co tlin lowir maiiciii of Ibo 
' bnart at Ilia ntNllan linn. 

t2i Ij-tt : TbU Uniira froiu Ibe innir bnrilnr of thn 1"ft aurkti', Ij Incbo rrniii Ihn 

I Hilrl ■li'Miil 1iiM>, nn<1 pii^wn Tcrtlnlly iluwnwiinl until ii«ar tlio ii|iiix, wlic^i it 

1 luni* liiw.inl tn T"ii'')i llir loui't lioixli-r oiu) half Inili la tliA U-ft sf tlin ii>"ilinn lliio. 

iV) lrfi>ii:ii\lii(>f iliffb'iiirc: l''rumilie)'n!>Rliiiclliif«< foiirtlitiif an imb lolbc rtKlit 

I of tlwi M- ^. 1.. !•• Ib« ■igw'X point, ]( < rioau tJie lanliaa lino (at Jla 4| 1. 1'.) oiipu- 

■Its tbn iipjwi lH>r.|r I nf Ilii: lUlb ciitlilnK™. 

(Kj Alii '•( li--»rt )'i|»«pii ill in<]iiriitiai) waa not <l<itiTiniii«l. owioB to lb« fomli- 
Umi nf Ilia Inni;* 111 >iltir.«tiun— tba IniiKa culUpMtl. Tbcciiliro tuwr two tliinli 
nf tkrliinft tu the I'lfl of iIhi nwdtan liiMtiiiil lirlovr tbe li^vcl of Ihe upper uiarglu 
»f tb« fffiittli riiHlnl iMiiiliice i( DXpokwI. 

rll) A'xta: III <«i<tll> ill itinwn in Iba pboloKntnb ;il>ua( I inch. Ila ris'it bunlrr 
alkTta ft--'-- ''"' I' ■— I ^iiuli In llio rJubt of lliu M. M. L. ami |Mi>nM tipwaril aciosa 
Iba lliliil '-atnii eJclilUn "f nn inrU frum tlio invliuu linu U>t Ibo 3^ I. 1*.) 

iM'roM III I iiililiiue fit'»*u>t;blhH of an inrb fiDin tlic> central line |iit Ibu 'i 1. 

1*.), anil Ih iu*l (iiiiili)' low aril tli« l"fl nnilrr llie iippi'r iluriial rntiimviil, Iti b'fC 
, Imriler hSoaii wily for ii hb'iit ilioancn diirvin); uv^'f.tlip piiliiionuiy ait«i}' fruiii 
lit • ' ' itmiit I iiii'li friiiii anil iiivillxl wiib lb« Tij,''>l I'oritrr. 
[I < >ry nrl< ly : Jn< linln t)ii> -ii^mr li-ft l>vtwu«ii tllt^ ailiii'lt-s.inil ul«o conivH 

•-he entlrd inner lislfof ilx'tolt utirielo. It tnnubt-ana biub u« tbe luwcr 
' marcitiof tliv *p"i>nt] totlul earlllnKn <(i|iiiaiiiio ibe^ I. I*, nn Uie U.1^L>;. 

IJ.i hopnrlor trna r^TB; tibiiu'H la it tu'lUpMul ttnlo to tbv ri|[bt ot tlio nortn. Ila 
rlebi iKiiilrr ri'ii'lir- froiti t)i« »tiiDtii« ri|-Jit nnil of tbn bnMt i vilicully npwari) to 
■huplHuir nn-|rr lb" npiier *lerniil riii|{nii:nt niiJ oHciiltiKO i>f tbo llrvt lib. ■!• left 

luui -■■■ '.- 'I ■ ■■ - - 'V-- --'it fiir |Ih)iuiTIb(Iii t)iapb<>loxi'>|>b}. 

'. bolnflatvdaatUfnctnTil.viilrnlb iliin ti> n doiibU nnen- 
- iTluf; pbntatCTanhK of Ihom In inxpirallon viia miulv. 
I'liHiitaKK'i' tbn oiilfinHi nf tbo Mitorlor mniitiiit of Ibo lungs 
111 alnlo, pipiilw icmiivud: 
(I t' I :." .iti]-';i-tr tHiiilur appaan nbOToio Ibn tn<-d!nn lln(> fiiE tbe 1} t. P.), 

pit' ■• ml and to iKo Ivfl M M. 8. L. BItlil ■ip|ii>ii1>> Ibe trtitor i>r Ibo ai-u- 

uiiil n.:-. - -' •• (al tbo'.'t I. 1'. nn tlio U. 6. L. nnd onafutnlb <if ah toi^U In It» kfll. 
mil* piiTMlIrl with Ibo n>«dlan lino until (oppnkiUt lU ^1 I. F'.) on a U<vfil wllb Iho 
I Dnrli-r iifttte iblid ipara, «bon it cnrvfla downward aiul tonntd Ibn rljflit oixl It lutl 
run' Itrl wliB Iba upper miiiKin of thaalxUi contal rnrlilii|(fi. 

I - iiiiui from Iba up|Kr Htvruiil fracmetil tlircc-niablbn of an Initb to tha 

f( ' ^ * I at tbo aauto 1} I. P. u aiiore), il«cc>nil«, almnit lonrblnjc Ibo 

|l. I iKvliv (tbe 3^ I. P. on tbo M. S. I..) tb« lower bonlai oMIxi Iblnl 

(I _ ' ' iiicartlloirnidlhe leflalonie tbo upper mnrgin of tb« foiirlbetulnl 

mtUl.i|ta iinlll It loavhea tha MX b»iilpi of tbe bonit, Hbleli It folloira iinlll Bear 
tba apni, then lurDi (u tbe tuft, fulluwiu); Ibe curro of tbo lixtU c««tal caflilofa 
(avlMtr niaritlii). 
{•) Aiaa of liaarl eipoaHl tu exiiiratJMi («r« { prc<Hxllng>, 




IWG 



PAN-AMEKICAN UKDlCAt. COJJIJIIKSS. 



(I) JliiMxif lioatt: ^H 

a. "I^yH ofiWBioil cvkUiI cnHilojte*." Qn»in, (jriy. ^^ 

b. " llnlow I«vp1 nf Kf (>n<I contJil c Ji-lilaifct." Mcl.:Mililan. All«iii Sih'on. 
r. " Seoouct rix'il iiilmmpnee to Irfl lintt iiilei>ipiMH<.'' Wilwiii. 

il. Jiut billow miilillo of rij{bl l« atiov« iui(l<U« uf left twwtitl lutuinpicr*. 

IIrVuiv. Siibj«''t I. 
», "li'pptrliordM of ihiril mntul (nrtiUgc*." Holik-n. Truvrt, 
/. " Jllliclioii of tliiril rill liliiK^ U'iib ri^l't lionl'^i of -ilcliiiiMi." Mi'I'lolliill. 
p. *' irj>|>ct iiiarh'iu «f tliifd tijilit oaititii^e to ocuter uf r«i>uiiil lull Kpitcp." 

Ifiiyuu. ^ubjrcl 11. 
I. "From ceDtrr uf tliinl liijlit aiiiwc t4t nnpet lUM^iu tliirti It'll rnTllUgo," 

)tnviMn. .Snlijci-I 111 <iiuiipciii(Ieil wrtioutly). 
(S) LcnKthoflHuo: 

a. Not f;ivcii. Qiiniii, Gtny. MuClcllati, 

i. " OnD-biilf i'i>'li ti> nsbc iitiil I iiirli (u lull ufntcniiiiu,'' I1tiltl(<li. 

R. " {ln<'-liJi1l' iiicb III light ami It iiicbca to |i>fl of Bi«rriuiii." McLanhUo. ^i 

d. -'Odo iucb to ri);bt tuidSi iucliai to left of ■teniMaa." WiUiMi. ^H 

e. H>yii<-«— m 

i<iibiccl I. I^ JDclics to riiilit ami 1) iiiolici to Irfl of iiicilinii line^^ V) iiicbd^ 
I Sllbjecl II, II iilclifu Iiuil t iili'b. tnl|ti.'vliv (■]>'. 'JJ ilK'lltM. 

SiibJfH'l 111, H iticli«B iiuil It iDvlitB, riujic-.' lively, - 'J) invbe*. 
(3) ApoK point: 

a. "In Bftli luft iDt«npttci>3( incliM froiumriliiui Iriie." (|ufliD, Onty, M^Larli- 

luii, Mt'CtvIlnn. 
fr. Wilb lufcmico tu left nipple, " t{ iurlioB below niiil thtMi-fuaitlia fii<<li I4i 
inni'li-," ijuiiiii, (■I'.tf ; "1! iiicIiiM Iivlow mill 1 iuoh lit iatlil*, lloIil«>ii ;" "3 
■U•'1I'■^ l-i'lnn* mill uiiH-liiilf inch tii iiixiilo.'' WilnOll. 
p, " t'illli lell iutvrHpnco ut ruslo vlioiiiliul ulii-'iilatiDii,'' Twtm. ^^ 

if. lta)iK-t: ^H 

Sulijeut I. t'iflli I«n Hpim H inclie» frora H. B. I., (at Its 7 t. P.). ■■ 

SulijHOt II. Iluliind rciiivriMiv«iit1i Ifift r:irlihi):i> llirp<>-f'>iir(l>« inrlt franll. Sib^ 

fill it? 7 1. I'.), llviirt in I ilixti-mU-il. lu II idiitrin-lril. 
HHbJectUt. ItuliiiiJ inl«tvfaiju>liiil aitli'iilutiou l>Ql»i-uii liflli anil lixlh urlllagM 
H iTicti«« ftuiii M. 8. L. (at itoTi 1. 1*.), Subjcvi Miapctiiluil, li««rt niKl- 
irrati'lj' iliHtiinli'it with blood. 
(4] Kislil bordt-r: Tbo farltmil point rvnclind from tli« inid-Menisl lino. Qaain 
Ktya 1) liK'liiM. Nniiuof tbe i>tbvt wiiIcih 1 rnimilti'd tiit'iilii>ii«>l il. 
lt;i_vii<'*— W.ilij«rl I. 1| iiii-tirM "Vpf foiiitll I'liUlbijii; milijeiit II, H illvllc* OVOT 
(••mill •'.iilll.i;;r<: aii^jixl III. I liirb •»'•'( I'oiirlli •'iiitihii-r. 
(S) I.clt boritrc t'arlbi<*l iioliit lu-u-licil fioiu ibo iuid**h<ruat lliio. KodMuf Ui« 
nliovo wntiT* roferio^i to 11. 
Jlaj-iii'^i— • 

. 8nbJo>'t [, HciiTt <ll>>t«id«il "In dinAliile," 2{ brliM ntor tlio (wnlM- of LU* 

' foiiitb lii(^'ni|iLioii. 

I Sti^>i't II. Ihinit coulrMtwl "In *yt>tol«," «uv»»-oIxlit]m ini'b oreroKilFr of 

Illlli mtrilaKO. 
Subj^tei lit. Midvraj-botwi«n"ai-«tola'*Mi(l "dlnaloln," 2 ludnaowfuufUt 
Inldnpncn. 
(8) L«w(irboiilnr; Tbo point at ivblnb It tTOMM thv •Urnum. 
«. " notli^iu of ulnriiiiiu," hloldrii. 
t. "Xipho^ti^mnl niClFiit9llrni,'^.\li>l.Arhlau. 
*. "Upiwr tliinl uf MiklTiitin," <^uula. 
4. naj-ikM — 

Subject I. Mi'ldlcaf ouMform. 
Siiblrrt It. Xipbnali-'nijil jrticiilBllon, 
Sabjrcl 111. Mid^ll«of ei^nifnrm. 
(7) Aren of f.-inliiui dnllnow io iiiipiiiili'^n. 

41. (jluln: "TwoliBoaftam puiii| of uye-x l>aallo(b«iiiliMt«tlDnuf tba^UrUMn; 
ou« borUoalsl, tli« otboc otiliiiucl; iiiiwuiil tu Lotuvcii Ibo fiiunli OBItl- 

UfiM. 

ft. Om.v <iiMi(«t from tialdrn. 

f. Ilolilrii <|iii>l<'« fioin l.nlhnni: ''Mako n dicia 2 iiirlim lu tllallMtM' Twniid ■ 

IHiiiil ■■•Uluiiy biTtWi'iin the nipplr iiiitl unil of tlin ttriOHM." 

if. T(i<i •» •iDiitfM frtiin I.tlhiin. 

«. M<'4'1<-1lun-. "Lino fumi oiidOln of tbi! ilrrniim npjioAlto foiiitb laAogiitAlt 
^^ tlln|;ii Io tli«)ioiiil uf jitiiolioiiof thclRflfiftb rib anil It* caitllii|^,uidr 

^^L tliia point hotiEoutally bucL to •tomuiu." 



PAK-AMBBICAN MEDICAL CONGRESS. 



1177 



Atva <if mhJIm itnlltiow tn ItiKpiratlon— Cai>tiDne<l. 

6ubjr«f I. A irni^'lUl^ml ■r>»<'" lMmn<1i-H on rlglil U,» luoiIiBn lini-, liolovr liy 
l«i" I I tiuiii iiikI'Uv of foiirtli (<iitiilii|;« 

>!' ' i^i> t" ){ ilicli'vi t'rixn Nit<il>iiii lino; 

Oi> ,. ■ I.. jM- > jtil (•• iiil''t»u<'i. tli« l')«iT liunlvT 

iif tlin Itniitt tliriD lo'irihu of nti liii-l) lloiti tl>" li'ft nf Uii! m--iliiiri Uitv. 
■Iijfrl II. ll'Jir ri>iilra> Inl. Atl uf l)>n liitm I U> itip Ii'ft. i>( tliu muitraii tluB 
■uil Imlflw ttiR lnn«r iniir(,'m of ilin rmirlt) Irli rnrlilajcu. 
8(tli,l<Mrt III. I.iinR* (iv i;\t>lruii'>t>) ro1U|-iii>(1. Kiillm li'wvr two-Uiii'iU tif 
IiMiL tn left of med iiiii liao aoil I>l-Ii>w iIik ii|>|>isr tnini-iii of tLo ruiiiUi 
lofl uiu-tilaito. 
B) AnrtriM: 

. Qniiin: "TLc tJRlit nTitictn lim Milml tlio nU-rnal rmliiof tin- Ililnl, foiirlli, 
•ml RflU GiutiiiiK'^. mill lli« jntonvniii:: |iorliim> nl' tito iiiti'iruiiul i-pnw; 
ami is >il>io |>iittully ciivnnii by Ilic ii(;bt nrtKo at ilin iklccKiiiu. 'Hi* piilnt 
of ill Aliri(:lllul'ap|ioiiiU([f) iiirx.inl.V Ix'lilml the niiiliUn tion nun IrVrl wllll 
llx' ii|>|K-t Iwrttrriif tlic tliitil mutiil 'Brliliisr. Tim K-lt miiiclfT sxIimhIh 
vcrliciilly rmiii I In' Icvvl of thi- Ion or li»tiK-r of the •«<oliil l«lt niitilii^i- tu 
llic iipiirr bi'iilui' of Ibi- fuurlh fAtpnial «i<l). Tlio aiii-x of jtn unpaiiiluKO 
iittii IL** lowrr fiiilt of llie wroiiil luli-'rciwliil iiuiro, or urhiiiil tllo Ihird co- 
tnl <'HTtit»;;<<. aliotil It iiutii-n fri>ili tlie hfl of tile ((vmuiii." 
h. I lay bo*'— 

^object I. Iti|;lil: 'till! imtliiii.- in tli« |ilioluc'i>['Ii ■<■ markedly "i-iir'kli&pnt." 
It t« Iwliiiiil tile first itxli ol' ll]i> tliinl linat cixbil curlilu^i' vtilb llie 
■iljari-iit lioiilcruf Ili« slvritiim attilllic lliiril «)liit«. t^vfl: Ovut iiillliii* 
ono-lulf iticli liy I iti>'li pliu'rcl ort-r u port ion of llie *eci>it<l npm-e iiliil 
IliinI CHililiiife. 'ri»- <T'iili'T of lliu artd brinj; 1^ ini'h(<« fruiti tlio I«fl of 
(lis inniliiiii line biiiI ilB long mii uitctiditi); from itliovi^ ilon iivaril aixl 
lowaiil ilif ltd 
■bjiu-l 11. Iii;:)il: I'par ilinpnl imtliiK^, liiuo iippemioHl i)uvi>rs iinit Iticll 
frviii Bl«riititii irl' Ifainl liubt aurtil^e uiid f-puce. I^fl: Itobinil llie 
cbmi'lrii- Bicritnt iiitiriiluiiua of tii* ibinl leiv uitnilug*; oval kliapedi 
kiBC'ixlH n* ill No. 1. 
8iibjn-l III, K>:;)ii: IiiKliiicily aiiririilur p>biipi!>l. Iii<'lr«l'>> fourth iui<l RMi 
ri|;bt <'iirtil»;;>a tiiT 1 iuvh I'li'iit Blvtniiiiiiiitl tbn iiii'1ii<li-il mi:ii'i>. wlTli tlir 
riiflil lialfof »(<'liiarii Oiipnnili- lli<- rf>ii[lli I'lKHiili-oxIriiinf ill HihiUtIoiI. 
I.*ifl: IWilli'l lliP Iljiiif l(!(t ■■Hililui;..', lit iTiitoi- Ij luohiu. from tli» 
ilir>tliili lilii-i It* loiij;uxiH iiirllrti'il lid III No. I, nild Ibr ■liii|i» (W Niitii-. 

Aiirliilu'Vi'iithi'iiliir ;;imiva^ 

m, itn*in: "Tlia ■iiii<'ulii.T<Tntri«iil*r anloia corrfMiioiwU wllU a lliw ilninu 
ubikiiiirly Upward froia iirnr itiw Nti'iiml «ml ot lli« aixU) owliil iuirtilut[*> 
till llui rii:l>t Kid* lo tli« lliiiil (iiiriilngp oti tlia t»(l." 
h, II •;■»*— 

BuVjMit I, rAppi»Xininlp|y Jtialnl.) Aditvril line, wllll lb" I'mivoxlly iipiranl 
Itmu IIh' iiji)'<<r niiiijii.i of Ibu fouclli mkIiC ciiilUilit, If iiiiibnii froii] tlia 
UKflliiil IliK' let IIhi tiiiilillo uf III" iblid lelt ■••iitiliiiie. If Im^lin' frniii llie 
liilddin lltin. Till* lla" rn***^ llii' l-"UU^I of lliu •l"ri<iiiii uli ■ loud Hith 
111* loHi'i ViiiitiT onh" ll'ird catlil*ic>'*. 
|lilbj>-<'l II. I!i:> hiu! Iiikt« IL" HUiim I'otiikn -.i* iii No. 1. nxinpt It I'liiU nl lll« 
lower iiiir>;iii of Ibo (bird lofi ratlilaitn, Mrveli-eiKlitlui of an innb Iroiii 

111" IIIHilllll II U I). 

Hiili)!^! III. (Hixpi-iiilH.) A line oonveit iipwnril fTum tliB nppnr mnrBiii of 

UiB a'db rt|:Iit ■'■mini cui lilaun, I iii>-li Irom lli" iiirdiuii line to tbelonor 
iKinli't u[ lb" Iblnl Ii'fl rartllrifie, l( iiii'h--< n-om lb" rciilral line. Tlio 
aleinuBi la nrutaoil on B lavcl nitb Ibo luwaf liunk-t of Ibo foarlti car- 
llUiP-t. 
1 10) Aorta Mini port Ion): 

■• Cmiiiiimk** " lirhltid llie *li-riiiim. nn a Invrl wllh IIh' Iowpi botdrr of tbo 

Ibllil eiwlnl raitltiiKe uii llie l"ft aid", alid ilsTaao biub a* tlii* upper WriliT 

ut Iba »i-iiii(l "ualal carlllai;a of lli« rlglil ■Id", lla Ii-u^tli i« aiiout 2 «r2t 

Inubna." gualii. 

^ 'I ri.iiiiiu'ii'.-ii iia n Uval with llie lownr l>or>ler of Ibr Ibird niatai «*rliU)t« 

■riih'i lit the •Irthiiiu; iiauu-i »l>l<i|ii<-l)- upwiiid li> tlie ri^bt 

It ni> di" iipprr tmtd"! ot tlie Mvoii'l iiKlit voslat <Brtilngc. It la 

■ ■ ■ ■ tirjj-. 

«, " I " aide of lb" IIiIiUIIh of llwi aliirmiiil. ubuut on A lavcl 

I »r Ibi' (bini •-•'slal "iiTti1iii;e. a^mids wjlh ■ *lj~hl 
|.ji>kiii|' fcirn aril Hhd In lliv rif;bl nidt- ua far un Ilia 

' ' ' <i » wieoud txMlul ciuUta|[0«r tta« rigbt ■Itb*. ItUalwut 

S laofaaa tM laosUi." Uoldea. 



1178 



PAN-AJIRRICAN MKUtCAI^ CONGRESS. 



(19) Aorla<rirat niitllon)— CAntinnail. ^1 

E li. "Th(-ii»flli' itix'niiiK it Miihil tlio lell bor>I(ir of tlin Dlfnitiiii eimte lo ihe 
I lower pil)Ct> i>r tli« (liiril i.-uitiliij.'*- The trunk iiwuniU tiotiioil Itiu •(^nitil 

I car(ituic>' of llic I'lSlit *!()<>." Tivvm. 

I * I]k>IIC>* — 

1 Snli.tort 1. Ita at'M ^umwponiU to Ihe iiiviUnii lin". It ih Hbuol kii Inrh wiilo 

I uiii) mi.'liiu from IbK iiiippr lionlcr of Ih" tliiM i-urtili>--rs to lli« nililillo 

I 111' tlio I'ni'liluiEu of tJi<< tirnt ill>. It 1* alimit 2 'iwhvn luiiK- 

I Siilijei't II- Tlio K'HtA leaoliM rr<-i<i tlii> nfT'or li'ir>li*r of tlin tiiltil rti;bt rar- 

I tllnifn til 111" >i|i|><T iimri'iti iif thi> lliHt niHibKe. It i* Miliri-lj- l» tha 

^^H rijiiii "f U"* ini-'Unn liiiti for ilic iti>t twi>>ib)r4«or it« cumt-iM iiii>l utily 

^^H ciirtcA iiiwanl t)i« N-lt Altrr irjiiliiii;.- Ilie n[i[i«r tii:tfi;lii «f lli<> eonniil 

^^F cnitlUKc- ^<AlIl•■ Iciiiflh in In Siibjoi-t 1. 

W Siiti.jpi't III. fSMspoiiilcil. not iiijri-li-<l,) lir.ti'hi'A from llin ii|>iH>r lovvl of ttio 

f (•iiiitli ractllniti-a nl Ihi'lr hIi-iiiaI iiiriPlloii. I'nlivrljr lo llio iti-hl of tlio 

tiic>iliikii lliii npwiinl lu tli<i luwcr luvn] of tlio llntl urUlajcc, wlicto lU 
•'•■Liirr U li'tliltiil llir iniii-sti-Tiinl lln^. 
(II) riilmotiiii)' «rtiT}-; 

D. (jii.it II : "I'lir pulinnnMry oil lien U pJhppiI njiiiomt" llio iipfwr niarelD of tlin 
lhir<l1i>ft<-<>*1nl''ArlilaeO|(^lo>uti»tI>o ilDniiiiii. Tliivxrltti) |iioi'(wiTi> itiiiriinl 
L to ilK bll'iircntloD liehiud tho loicotid roclti) cnrtllnK«. It la iienily 2 litrlwia 

P loiijr." 

b. Trevpii: KAi.i<iitUlly luiinR •■ QiiuiD. 

p. (ir*^, Ituliti-ti: llu not ;;ivc ild inirfHr« ToUtions. 

I Subject 1. IIc(tiiii on II level witli tli4i lowM borilor t.{ tbn tliiril i^nrllUicra; 

U It* CL-uteT liniiitf bnlf Uli JUrli lo tlui Irft, of llio itilililli- Uot\. It piotuwila 

^^L uiiwurit nail Wwird tbi> Wt nml ifTiiiiiintm jiikl iit'oii? Ibn lavor oiarRla 

^^H oi Ihe loeond left i^nrlilatio; hem i|j> n-iitPT m atiimt llir^r-roiirlbn ofan 

^^^ liirli t« tbo left of tlie iiic^iiui line. Tlio urtnry ia n little over an inch 

f wide nnil \i iiiclicn Untg. 

I gilbji^rt U. Ilef[iiin on b Invel iritli IliC lonnr inLirRill of ibn Ihinl cnitil^iSH; 

I in conlet &rliin<1 tlK> uii-dinii lino pracnsla iinnnnl. iiiulininR a little to 

I the left, nml etulK on a levrl with ibi« uiuht lioriler of Ibo •«noil on»ti- 

I liiK<«, its i-cnter liFitig one foiiith of uii incb lo the luft of the lucdUn 

I line. It is nbuiit I iiiob »iile iiotl H incLes loiit;. 

I Subject III. Bc:;iii* i>ii n level uitli tbe I'lWer lOiir;:!!! of tlie Ibiril left cnrtl- 

I Jkge rnliretv lu tile li^fl of (lie mlrliHr Iiii(>. Iipiii); iiboiit Ij incbiii wiilo, 

^^^ pdiHra npuiiril until i<j>]ioiii(e ibo tiiiilillo itf tll>^ wioiiil IcR oiirlilugr>, 

^^^ where tlir •cntrr of the virvi-1 is tlircr-iViiiilhs of ua iii'b iiom tbn left 

^^V of the iiioliiiii liiiu. It in II lit lie over au iiiih wlite ul lis livgiiinio); nnil 

UllOIlt 1^ ioi'llM llID)!. 

(13) CoiMiury urtm-ies. ll^iyiiva: 

Subject t. (Ili>iirt iU«l>'iiiU>il.i Tlii^y run iietirly Torl<(>!il iiml piirtillol wiTh the 
I int>ili*ti ii lie, the liuht 1 inctj nnil Ibu U<fl l| itiiliiui ftniii tliu ounio; tbu 

former fmui ll«> lnwer honltrof Ibc thini it):btrarlil>tce, nnil the hitt«r from 
Uie lujililli.- of ibe tbitil lad CiirlilugK, mid uuch vileuds lo tbo lower level of 
(lie sixth pnititiiKe. 
8ubJ<!rt )I. (Ilrai-t i-'<ittrarteil.) K<Kht iirlcry is at an arerAUvflUliiiireofaeveti- 
eij-htlioof nil Inch rniiii M, H, [.,, ii:ii:ilti>l wilb oaiiio (iicnrly>. iiuil oxtviiih 
frtiiiL iiiijier Lmiiler of riiiirih to n|i|ii-r )>iinU-r of aiath vurtihij^. L«fl is 

Eiirnltel with itnnliul liiii' aiiil lbr>-i>>roiirtb>>»f an liirli from It, nut) ie(M<b«ii 
'<im Inner level iif thiiil rurliliiKo 1» Hiiai, 
8uli)iM'i III. (He«rl moit.'islely dUlrtiileit,! Kiubl: I'Viitu iipiM" bonier of 
iiflb i-iitllliiBn I'lniir hi iili>riinio to tniibllo of vnolfurm, t^lt: Kmili loner 
irniri-iii <>f Ihlnl rattiUjti' I iiii'h to li'ft uiiii jiaralUil wllh mnllau liua 
tunaril npex. 
(IS) Anli'iior uturitin of Ll>o luuitu ntnl th«oit(>nt of tlieli nontAct during (i>t]>ir*> 
(lou. 
O. (jiioiti: "Moot nt juuolltiti of manuhrioiu anil boily of Kloriium, ilenneiwl 
I toKetlinr, rlflit ■ntiiiTtiiiif* iifoli'i'tlne n little tn lell of miililU' llii», iia fnrMi 

I till' louilh I iMtBl pnrillai;e; riulit liinjE <'«Tilliiim ■Inilulit ronmu lo sIxUl 

I cMito-<'honiltBt ■rliuulatfoii ; left slniir* niilniiiil bohluil&nh roattil cuni> 

I Ian*, liidlinlml bf ■ lliw Amiii fourtli Irlt ehusdro-tU'rnnl •rtloaUlion fa> 

r UJWK poinr" 

b, Uray. Iliilili^i; "Anterior bonl«r of riffbt hiaa oorroapoitiU t« ui^dUn 
Ilii« fraui .toDction nf flril and ■ecoixl nleres of ktorunin aa low aa aixtli 
I co«tal eirlilnce ; imteriiir border of lelt lung liua iu the miilille tiiM onljr m 

I far a* tlM> fourtli eoalol caitilogo." 



PAN-AUKRICAN UEPICAL CONGRESS. 



1179 



[IS) AnlpHor iiiarf,'!!! <>f lltp Itiiig* mni t1i« extrnt of Kx-ir paiitiict iluring in*|iir*- 
(ifiii — I'uiiiltiiiml, 
a, Tr*>**a: ".Mcrl kit wlililln lino ni Juitt'tioii of tKuiiiibrium uoil gIiuliolii«| 
riKlit (wtniniim vrrllr»tlv iliiHnwflril boliinil nilildle line lo «iilli oboiiiltiv- 
■Unial nrllriil.itli'd; left )«<•')>« I'lnM to right to fourth rliotiitra-ktvriiM 
Arllnilntlixi. vlini It litnis ittt, followliif; a lino rram I'ourtb cutilBse lt> 
■l>«x of limit. " 
d. llaynM-- 

MiiliJ*wt I. C'iii»eri.'p from jpicM ntiit iiiiM>t .it Uy*{ of niiiirr 1io>iIi>rof ouroixl 
cnr1lli|;r> i>i»i> innrtti iiii'li In li<ft n( mnllnii liii4i niiil tiiniiuriillt-I mlih 
•11111*1 It) Irvi'l of tli-1 iijiiiiT lioiilrr iil fviiirlh rnrltlnjccn. Tlio riu}M liiHK 
oiintliiiii** m till' Irfc at ilin iiii>l'll<t llii« until nt Ibn iip|>nr mniKln ot thu 
•laili I'lii'iiiliii'Ktriiinl jnli-Dliiltun, wIiimi II noiuri) to tbo rlnlit. Tho 
Irft liitiiK oiitvnFi) nloitu tlio □p)Hir mnrxio of tlio llftli cnrtllii|t«. 
l.i'iijtlli of riHiIucI, (ii-nlly 3 iiiclio*. 
SkUt't U. Aiili'riur of riulit liiiiji ftiwuM to tlie left of tlic niiildle Una on% 
MtrI will) tliit iinpcT bunler nr Bccond Mitiliigoa anil t'niitiiiiitii alTiiliiliC 
ilowii to l»wcf Vvel of nlxth isiital cnrtilncca ut ■tcriiiim. Tlio IvIC 
niwd^ meet* tli4< lijtbt iil lower IfTol of ■■•(loiid left r<uln1 enrtilnKu. 
i^miliiiim iHurly iu coiitiict inii<l o|i|i<t>iile tliinl aputv- In ttctunl tonlavt} 
Ui level of iipjiiii bnrdcr of Hfth Ivil onriiluse ut •lemum, along «bi«h 
It pB^xa oiitu'iird ami louiitd tlii- lell. 
I'oltita nil Ibu nuiit.ntrnial IJiio ap|iuiite tbu «mtvni of Uh *t«nial eutU of tba 
roaial I'Hrtilngcs: 



..., ,j ,„,,...__ Bal'Jfl I. Sublml I 



nial... 

&:: 

rHnib . 
Kifili . 
itUia 

(l«l«Ull| 



II 
if 
al 

41 

*i 





/mAm. 



3 






1 
1 



VKTANCKfl IIKTWKRK TUB CABTII.AaKB. 



ItftK «« tint tut Mc- 

ttMirftf-u •croud HI'] 

Ulinl .- .. 

Dmwwk Iblrd Mill 

Urlann Itatik mi 

•lih 

IMnra Bnh aa4 

IMiit<« *UUl mt 


1 

■1 
1 

1 
1 
1 


u 

11 


1 

>l 

1 
1 
1 
k 









(IS) Itrliillvo (intillinn of nipplM. All llie nutbotitim agrve in ■•laciiii: llicm In Iha 
(utiitli ii]iciipai'», 111 tvc-foii till* »f an iuvliviluiiuil Iu Ibr j urn- 1 loll of tbo riljH 
and caitUacra, or mtlicr more iban 4 mi'lma from tb« meiliaii liiiv. 
In l)t"lwn mule sulijoilAil nttil II), tbe nlppIcA were ovm Ibe low«f fanlf of IIi« 
Jfoiii' ' ' ini'lki'i frotn ibe mi'iliuu liar. In tbn fvmiild <.SiiliJFot III), Ibuy vi»io 

|4 III ' : Iil- TiinlMn line, tbe rlRbl in tbe ri<nt«T of tbv fourlh iiilvr*i<:M-e anil 

ilii- I'-nrr iii»giri of tlip foiirtb rib: In ttii> mali'ii tbo ni(Mniitvi»i<iitn 

niiile ii|»>i> iltr tliotnx ullor miinval of tb<i ■iipvrliclal tiMiiMt iu tbo foiiialo 
I lli««xt«>ioror tb« cbcot before soab il!»arvliuu. 

Pr«mB oiM>p«rl*o«i ot Iho prwoedlng qaot«liaii« aiul tbo iirixinal niuaiiir«iii«nta 
wa ■»• lliul lit iiisn^ rritli^al |ii>liita tliMo I* a irlilo dtlTiTfliuw iMln-i^nti Iho iiccvptml 
tvIatliMia ic'vvn in tbu toit-booki mid IhoM r«iv«nl«il by oofn|iu«ttv pbotiijcmpby. 

A* tFKariU ili« lrin)[H, thiiMi illifMonoMftraaaMiiall a« tobn of lltllo Imjiorlnnre, 
tiul III irfrtriirv to Iba boart urn ro proniKincail aa t» iiiaka aa wouilor If tb« itiir> 
raall) niiii-il rclilloiia of bMrl ami cbint do nut nMd ravilliM> Fur fxniiiplfl, ii it 
oatpoaaible, nay, tiMiM tliaii probable, iliat tb«uHthortUMk Inplnclug tJi« u(«s bwU 




1180 



PAN-AMKRICAN SIBDJCAI. COKOHE88. 



'lit lurlifn t« tbo 1«rt of tUo mnitian lino, liAve Dot Knno at kiul An iiirli av»r Ifafl 
ttiui'Kt Viir Uin ai'vx pnliit In fliilijodl I, vrli«in t1i«lipiirU> fi]II)* itUloiutait, iiinnly 3^ 
ltli'tir« ll»1ll llli' lilP'llilll Itiio. 

Ni-itlirr ''nn il l>e mnIiI In «x|>laii»t!uii at ttii» i1ln'«iVTK'o Ibat tlm tii>itit linN ligm 
uiwvc<(l bniUt}- Uiwaril tlw right. It lian not w« imii hoi-, Tot it* itulil tioiilvr "lily 
reacliM 1| iiu'Liu, riuni \\iv ■iiiil<ll« lltic. Nor cnii il bo duiiiiod Uiul tliu tiwirl lina 
beun foi«Mli»t'ti.'tii'il liy tb« ctiiii«>li> ul tlio ex]<(>il(i<i of llio rllMt, for tTiu li<>aK in Iba 
f hiiluernpLi i* Tii?urlyI>tiiiib<'H wU\a. liimitlo, tliin «rn>raf rurmliitit^iiini; ii|>r<i«fi>t«t 
lij- iii^iiiiiiinK tlio ilinlmiou npMi tli« li»iiy fruwcnnflc of tli« ch«it itoulf biirArn 
tAklnic tlio [ilinlotirDphu, mill nil)' foreiiliiiitrnlnii nf Uic li<tfltti»coi»tH-iiMiled fui'liy ILn 
wimp nfiMiTri<iin< la Ilio [ranjfo '■' tli" clival, anil lli« Raului itro tiuliiijinliisl. Miitn- 
over, tliu liPiirl linn n'lt r<>rniv(>') riimplslo ueatmnnt by (lio niitlifirltlnt <)iiiie4Hl, Id 
llMt lIxaurid'A. lionli'rt. iiud ili i:ivntvf«i>(>l»liiiv<i iintli«<ii im<'ril liitiiRIuiuat dflall 
npun tli« bony rrniiicwuik of tlii- iljrat. Tliis U iIiiimkiiIihiIiI. ti> thu >im'»TtaiiiIlfl»«r 
1l>v iiK^tliijiIs tini'iL fur u-:i.-itJiiiiiiij; tbtw? rc1;itii>iiii, lu tlivii' i-uiupusUp pholugra]!!!* 
tli« rvlBtluiM lust by ilic [drnici luetlivtl uto bruiit;b( i>nl with miiarknbli; clpuruuia 
Mdwui he iviiilily Ifji-iTrl, ami tli<<irdetai1n hnvo bei'ii given ta l)ie prccudiu); pigcn, 
loo full t« ptoiliicio iittniGtit u rcaiUiiji, but not, 1 liupi', for acoumte nifor«iKtt. 

In concliiilinji lliia luipnr I offer Uio following •niumtir)* of tlie citrtirnl tclulimi* 
uf ibn viiccrn In •jiic^tioii. ThMo reanlta rumpraliMid tlie coiiRluitoni ilotWcd fconi 
llio alali-monta of tho niitbon connnltMl niwl trom iny own obnorvalion*. 



coxcLingOKN. 

(1) BoNoof bcutt; A lino croEiiiiig tbe itornnm obliqndy from tl»o npprr mni^n 
of the lUirct rigbt lu tlii.' Iovut bonlui of Uie hi-ooihI left cunliil ruritlugc, 1{ inrliM 

I ttom tbe niciliiiTi line on (inch lido. 

(2) Appx; In tbn tiflh *)kk«, n«nr tbo upper initr|[iniif the iiixth (hinIaI ortlliiu*. Sf 
tti('ti(ut<i Ibii Irft of lIio UKullan lino. 

(3) Itiiibt lioi'ilfir: Kmin ihn rleiit mid of haya finivnl allKbtly niitwucil U> lotu-L a 
point tl iiiobex froiii right of iiiiiMIe Hno over tbo fourth i-nrlilatto and Mid ac Um 
Ovni«r of tbo ilftb cnrlil^ico, 1 in«h fiucn iho mi>l >loruat lin». 

(4) Lnft border: Krom tbu led coil of bu«o, with a iTixivvxtty aiitwnrd, b> Iba 
apex. It rraduw it« (^iiialr^t diittanco of S India* firam tbo Hlarii»l ooiitor over Ilia 
fmiTlli Kpnce. 

(5) I^iwnrliorilw: A 1Ini> <:nrv*i1 ilowiiKaHl nt llA bn(;i"»bi|t (>t lower oxltrmity 
ofrii^ht boi-ilct) »nd »iidiii); (nt the ui«>x), iimi olighliy cunvux upwnnl in ilactotor 

, u il (rUHBM lb<.> middle uf tbo vnaifotiu. 

(S) Ik-iiit dtilliKia; A i(uu(liilat(ir.il iir«u to loft of luediau lino ooil below Ilia 
nppvr burdci of Ib« 6flb carliUgH, neatly 2 iiieliM in r«rltoal Rud Ij in oslrcine 
iHteral nirnAiirt'iDiiula. 

(T) Anricli-i: Kight "Mir-slmpnl" (turlag lokfl). covering Ibo l\nl inch of Iha 
third right ayarv and mrlila;;o witU Ibu portion of thi- Hteniuin udjiicout In tile lat- 
ter. Its long axil inc«siirci about 'J incbea and i> ini'tinnl fiom nbiire dounwnnl 
■lid outwiint. Loft, ia a mnall nvul upaeo 4 hf 1 '"^h ^ita eentur 1^ inrbo* to loll of 
[iMiHliHn Hdc) beliinii tba»coiid loft apaco and t bird rattiloc*. Jt« loiiKaxladlTKClMl 
*ftx>lu aboTo donu<ranl and oiltoniil. 

(8) Aiirkn)i>*voot>iriitur ^wve: la Indicated by a lino IVoin Iba rislit to t]i« left 

boart border*, bnglnnlng on a l«v»l nllh tha upper tintt]cin of Uia fiHirlli rigbt. and 

|'«»dlii£ nil a ler«1 witli tho lowor oilpiof t1i« third li'ft rurtiln)!*. TbU llitniiiooii- 

tox npirartl and er u wo c a tho irilddkof the Mtomaiu oa a Uivol with tlio lower Iwrdvr 

of tlM> third carllUuu. 

(9> Aorta: A lllllii tnnro Ibnn an ineb widoand 9 blchca long. Kitentla I>diu tlia 
uppdr biifiler of lb« Ibitd to Iiehiod Ibu middle of tbe flrat MtUlagoa. At ila bojtlu- 
uing und ending its crater in bcbind tbn iiHxIian Unu, but in tbomiddleof Itaocmraa 
Uie artofj ia oonvox Wwiud tliu righk 



I 



J 



PAN-AMERICAN MEDICAL CONGBKSS. 



1181 



(10) PuImnDAiy ai'ti<r,v: Alimit 1^ inclipawMo nnil Ij Ihi'Iick lon|c (in tbo pliotn~ 
f[[iip1i). itTigiD» on u Itivi'l with tite loner iKinli-r i<f tliu l.liinl iiinl [:iiQ« lieliiiiil tlie 
miililio of the Heconii left ourtiliLgiis. Hulnn', iu cniiloT is aiiu-linlf incli uiiil aliuv^, 
ttiTaa- fourths of an iui-U Co the left of the nii'tlinu line. 

(ll)Corouary prteriua: Bolbarviipurlf vortioal (iuclineslightly towtird thciiicdiiit^ 
line at tlivir loner eDila). Ii>i;lit, I intli from tiiiil-Hlumnl liiio. Extendi from tlie 
iippor bonier of fourth to toner of ttixih ciirtilngus. Lett, 1| inciieis from uiiddlo line 
1b ezponaioD au<l tlirn^-raiirtlii ini^li in conti'.'ietion. Extends from midille of tliii'il 
to lower bolder orsixtU ourtilogoH. 

(IZ) The anterior msr^lns of tko lungs in iiui|>i ration : Bight, lies to left of 
medura line, one-fourtli incli from and parullel with it from tlie nppei mitrgln of 
•eooDd to thnt of sixth cartilijies (Ht^mnl cnilc). The loft is in uoiit:ict willi the 
right from the upper border of tlio second to the midpoint botween the fourth 
eartiiages, where it tarna downward and outward along tliH upper margin of tlie 
fifth let\ uartiloge. Length of cuntart, 3i inches. 

(15) The centers of the st«rnal endii of tlie costal uartilages are opposite the bV^'' 
lowing distancM nu tlio mid-stonial line mensurud f)«in the supro-storiial uotoli. 



OwrtitacM. 



<«)Halii (arancnof !>. 
otker. 



(romeaebothiir. 



Xnl. 
Ba.t. 

Ve-T. 



1 



(14) Vippl«A: Or«t tb« lower tn&rgln of tb« fonrth rllwr 4 IdoIjcs fVom the mi^ldla 



AirrB<»K3 UOSfiULTRD. 

1. Qnnln. Tolfl, I and II, ninlh A mfiiictn edition ■ 

t. flriy, K^-i-n's nvinlon «r elpvi-nth En^Unh nlHInn. 

3. HvUIad'r Uc4llc4tJ HDcL Surgical LmnOmHrkn, rcvjuiHl Uy Kr.vn iiiiil apiiiMiileiL lu Gr^j. 

4- Hnl-'eii> Unnnflt Qf iHiuectlon, flfTh eihtfon- 

!^. Tn!V4!ri Applied Aha trmiy. 

A. MfLarhlaia'A AppLEiftl Annroniy, Ibtnl ciUliiin, Vol. 11. 

0. AI1fii'4 AnAtnniy, Vol. IL 

9. McCAtWan'ii Brz^onm\ Auntoiny. Vol. I. 

l<t Uurlon'H [Jiimpn Anntoniy, 

11- Crnvoitbffr, rnirinonji Tniiinl'ilioD. 



SECTION X -PHYSIOLOGY. 



Iftmamrif Prt*liUril». 



I>r. .ro«A it. IIakiiera, City of Mexico, 

III. .Iamkh IIi-akk, Run FrniieisFn, Col. 
I>r. K. H. CiiMir-NOKN, Nriv llnvcn, Ciniti. 
Vt, KVfTis Ki.iNT, Kpw York, X. Y. 
]>r. C. Hwxr.MAXX, Vera Crar^ Mnxloo. 
]>r. JosKPH JoNRs, N»w Orlwiiis, I^. 
Vr. J. B. Dk L^cKnoA, i:i» ilu .tmiciru, 
BnuJ). 



Dr. II. H. Martix, Bnlliinnni. Bfd. 
Dr. \Vk*i.iiv XliM.N,UoiitT«Bl,('aDftdA. 
Or. 8. Wriii Mni<)ir.i.t, l>liilitdcli>t>lm IV 
Di, E. T. llKiciiRiir. Pli 11x1k] |>hl», i>u. 
l>r. AXTUKIU Pi^RKX KvcA. I.liiia, foril. 
Dt. Uau(h SAGAItJCA, Siiuliago d« Cllllft, 
Colin. 



/^rONlilf I'rui^tiitl. 

Dr. Isaac Ott, Riiaton, Pm. 

SttTflaric*. 



Dr. A. P. BRrnAKrn fEnjtlUli iiimiVlng). 

4(1 S. lEitli 61. )1>>riHl«l|il>iu. r*. 
Dr. 8itSoRAN8, (DufvnsA SSS) Bueuoa 

A;rea. Argi-iitiiiv ItejiuMio. 
Dr. KMuigrK HRRifiit, I.n Tux, llotivia. 
])r. J. I'AL'LO i>K <'arvai.iio, KIo ilo Ja- 

Bolro.U.tJ.Ql' llnixll. 
Dr. A. B. MAcAu.itM. Torviitu. Ciitiuiln. 
Dr. Jl'uu Max Martin (DniKuniu Ot), 

Ha van*, C'Dbn. 
Dr. A!en>KioVJROAsVR<iA(CallelONam. 

StS). B<i)!OI:k K«|i. of <;ol«ii)ltia. 
Dr.C'tni-w«l>(iiiiK,Sai]Ji>»$,Co«UUieii. 



Ih-, Wm. a. Tiiom (Sp»nlsh-«pMklns), 

rx Uiiiii St., Nurfolk, Vb. 
I>r. C;(i:i.<>« rAiiM.Li, QiMtomala Cllft 

iiualriuula. 
Dr. F. 1., MiSKii, l)c>tir>Iitli>. Unwkij. 
Dr. EsiKUAN rKi<itA.N,Te|cnct|;alpa,IIiiu- ^ 

tliiniA. 
Dr. MaM'BI. Tov«»AiNr (Ban Jot6 d*1 

GrociH I3J City nf Mcxka, Uvstuo. 
Dr. QuKRaA.HitaR, NU'iirn;i;na. 
Dr. JiAS MoRKi-Li (liyo). (Arit|Miy ISOJ 

Moiili'i IdtHi, llmiiiiKy. 
Dr. 1(am<jX PoliRA 1'IC6k, Moriiln, V«b*- 



ADDRESS BY THE I'HESIDENT, ISAAC OTT, M. V., OF KA8T0N, PA. 

GKMi-itUKX: In opouiiiu tlio ptiyHnlogicnl nccUim i>r tbo Pnn-AmBritaii Cfingreaty 
1 liBr<i tl]Ai;r<!t>( pi onRiiro to extend tn ilic irdiUmI TcpTiwntativcal^am tli«Aiu«>t«M, 
Noitli ikixl Moiilli, ma w/^II na the Unltol Slnli-*, ■ iniMt erniUnl wolrome. I bupc lh»( 
nil our /riniit* will ilo iii ihf> f^rmc honor of bnliix prvaRiit nt our mooiingn, uml thul 
llicy will tiiilnr ititu ilie ilihciiiu-loii of papers wlilcli will bn piemen toil. Yon ara 
IhTili-it to liiko a 'lc^]> Itilvmit in tlin prucetM-liii;;*. na mauy SHbJncta of ImpnTlane* 
to Hi-'irulifli* auil pr^kJ-tiont H)clioiii« will bo contiili^rftl. A* tlii* t« oar llTvt nM«tlnj( 
iw I'an-AnietU'uIiii, let in make it imp uf fruition itml vnliiv to buniantty. It U my 
piMWBRi duty to iiuii»iiiii.-e to y<iu Ihnt iliirlng our Heuii'im vir- ulial) !•« boaoml wltb 
r*prM«qitflllv«« from olli«'r coiinlrln. n»tl tt ii virr.v n^ri'cnblo In lint nMBlioR ibc 
lUMio of I'tvf. JoluiiiriiM Uail, aiutt wurtliy rcpTMMilBtiv* of Uie Univtniljr •/ 
1183 



4 



PA»-AMKRICAN MK1>ICAL CONOItESS. 



1183 



IWtlln Kiid theCnntrnltilAtt far niy«l(ilii]Ei«. Ihavvneit !■> uinounM Itia oaaift ef 
l*rof. A. H, UacAlluiD, ur ToroiilciUiiivi-r*lt]r, vilio TpjirMiMil* nii»it cxcclleiitlyCnna- 
itlan pli.rHivtujrj* ^Villl reit«r>1 hi lhi> •nbj'-cl of U-ilit)', I Bhiill uiil.v niii'iik ut Amor- 
|fak(i pb]*iolog7 M fur it rclnliw to Die Unitud Sluli^s. I rcatrict my KHr to IliUplanJ 
^b I Mu nut Biiinoi«Dtly apiiuninit^d n-itb the lilvntiire of «itli«r Nurtli or SoutiH 
Anarioa tu iivat il with anj- invi-iaiun, 

Dt-feTc Uking n|i tU«aiil>jL>rt of pli.vaioliigr in detefl, ItmiKlit La wril to nolo tlie 
■tMlo of plijraioloyy nbruul at the bui^nninK of Ihi* cnntiiT)', for tbo iiilluencu uf 
l-'rvlHtb |ilij nlotniiiiU vriw Ktcat op to ISTO, riucd irliloli tlmo w« bavo )io»ii greatly j 
rMM!t«(lBpoiili7lba]iIiy*i<iIi>Kl*tai>rGiirtnnny, nod.lo a CMtalii •Kt«iil, by tlio KrMirli.J 
A> w« all kiuiw, tbo Initiiortal Ilallcr ttii'il in ITTT. In Ftnave, nl tbla poitnil, Lnvof J 
■It piibllatiFiI Ilia •xi>crlin4in(a npoi> tin; mi'irntlou of animal*, and In 1T8U^ In oon-^ 
JoDrilon wllb lj t^ntr. bl« etniit nifiiiair upon nnliiial iMiat. Aliont tli« ytutr IBM, 
tlia I'ri-iirb jiliyBiuliiKUIa werv I'vlll at .Vnmur, Kuiiwut, l^-lliiltiiia, nod Kioliitt. In 

Rglaml, In 1811, Cliarlrs lli<ll piilill»li«(l bl*e|H>cfa-inftklcii! iiiMiiofr mi "A New Annt-J 

ny iif Ibn itraiii," al tliD age of 'M. [tt (Jf nnniiy, I'lntniiianii nail Krtiil«cli werel 
I i*bii>f oxiwrniiitii of pbydnlngivul jirogitiu. But at the end uf lliv fir«t iiiinrlerl 
nf IbU ccntiifj ilin itii);b(>' iiilliit'i)f« uf Ua-;vuilie wo* felt by tbo iiilroiliu'tion ofl 
tbaaxiiorinieDlHl mntliod in pliyniul »;■>'. 

lo tba Mnily of tbv pliyiiiul(>;;i(;ul juipera uf Ibe Uuited Stntoi t abHlI ouly tiiV* 

Jno of artaoliM cifiiliiiiiiug mhdv oflfjiiiiil ubtiervatii>ti», aiid vdulu no tim» od I1ivo> 

lacubratiuiin. "Itabit* Mf'it* g ratlm Larbai," I'lirlbcr, I nball iiot protcnil 

> Ihia totiew exbniiHtirp, oa nuitber Ibi? time iiur tbc libnvrioa an auffltteutly 

itiln to mc, yet I abiill try not lu miss tiM) tnaio paper*. 

Id ITM ^aniuvl I.atbuiu Milcbil). a profciuor of cbemintry id tbe Cu)lft|Ci' of I'ow 
Y'irk, Biailn the olxiKi'Vation * Ibnt piiUaliona nf tbo bmirt can bo acmlnrfiloit or 
ralanlnl by iIm* varlril utalit of the reapitalion. In tbo ynnr IMM I flnil a tliraiit pr*- 
•*«il«l(o tbe Uiilvviallyuf r«nn*jlvBulB by Dr. Jnbn llnptltto CIcniaiit Koiiwaii, ofj 
llMjiMiMa. Il woanpoa thu«abi<<«lof *htoriition, unil, iilnKiiInrly tnalat*,lbc llnti 
Ibliil ml till* (cutnrjF i« mninly il«>T<iti>il by our wriiora 1« tbla subject. I tan only 
ae«o«iat f«r it liy tbe fu«t ttiut llie ureat (<xl*riiAl nm «f tnerctirlal otnlmitut in pnic- 
lloe la*t unr (■■•■friniminl bn^llirrn to Ibtoriie npon Ita nctloti anil (inully lu eipcri- 
nmiUdly t)irli<Tiitln<' tbe trulb or liilsity of Uioii byjiulbiHWa. llu lirbl tbiil no 
alMoritlluu oiiulil take pliic« fruiu Ibu itkia Utilout tli« tnliolo •koh (iHtiuy^il by 
filctlon. Hlllionith Ihn rntiiMilai Injniy miRbt cot be oppatiMit lu tbo cjn. ilr ■.Inliia 
^hal II nncT baa liraii itecjili'illj' prurnl ibat mcrtiiiry wiia ri^niivtd nnil cnirlv<l 
Into tbe ayMdH by alvDrbcnln, for b« tunnil iin lui^triiry In the nrliir, milk, or 
iilliaf fluiiln i)t BUlinal* lu wIiom anrfn<« ni*>c»ry iraa freely appllcil. Il<> in nut 
kbifl lo|Mellliely uy, bat be ktiitd* it tret>tiis pii>bnbli<, that mricnry lavolntllixril by 
fytDlkin wd iaaii*orb*il in fine parlii'lua like niii*k and apiiititof inrpontliio. lu hia 
llrat oipcrinimt li« awalluKi^il, at ID A. H., a fuir drop* of apldUof turi<wlin« ivilb 
■MKur, water, luidawtvl apiritaiif nitiu, (leauoii fininda vlulpt udorln tli«nrine. lu 
liU wrnud ei|i£rin>rnt bo expoied mhiu Inrpoiitina in an opoit bowl in a uloiic room ■ 
»1 tlia tnU)|Himintc«f 111'' V. In bulfno bour hv fuiind liia nrioa wllb nn odarnfl 
tlul'ta. lu bja tliitil ciipeftimnt he brealli<«1 throit)i;b a lube opcniiiK uatiiilo tba 
runcii, anil doted bui now, tliaci exponed ttii|irn(inv in lb« Tooin, but no violet oilor 
«raa jicrrnlvnl Is llir mial Mvrallan. lu Ihn fiiuttb «<ipfriinonl bi> iniindninil bin baud J 
■ltd wrlut In lurpriitini' and brrqibril ibtoniib Ibii Inlia onlalde tbo rtioin wllb niia* \ 
InU I'biaMJ, but no i i<it«l odnr waa purorivi-d. In linh i'!ip<>rtnent. still brrntbiiijE 
Uifviaillt a tab« ifuliMu room, niulril* rloauil, then Hinnutvil Imdy witb tiir[ip[iliii(i by 
laf aa)<uiigH, butnnotlnr loiiriiiu. iDexjictitiirnl*,!!,?, and 8, found inhnliilioii 
>f ftuilHi«r lutprnlliiti IVuni n biilllo HnQklent in balf an b»<>r lolxipi^ri'i-irnl In tbe 
orlne. Ilta concliialuiia wria: (I) Abtorpllua U |>nrfnnn>>d by ibi> Inns*; (maUmip. 
Ihw ■• iMrfcniuid by tlie liiiix" abme: (3) no aulMUin'e rau bn Inlruitiinol by Ibe 
ails wltrn tbv vulirU la (ouihI nitil mllia. 




*0a Odu^ie Olid* tl AistA K*« Terk. tm. II ua., p. II. 



»^ 



1184 



PAN-AMKRICAN' UEDICAL CO.Vr.RF.KS. 



In Ibe Hnnie ireiir (IflOO) a th«aii or Ibc L*iiiv«inty of rMiDoj-lvBiiJa vhm |Mib1laltiiil 
hy Dr. Jmiirii Asncir. of N'ew 3mtiy, npan tlia prnpinitiiiB.* In INffi Ur. Viuiiftt- 
ttnlil replant*"! ItoaHtciirrn ox|>rtiniiihtt. I In nlxii put InriKi iitiutrni ■>( mnn'otUloint- 
IHL-nt t« tito nntvca of Hut Ir^, hHDilat(r<l llioiu fiwr. anil niVKniil Ibo wbule vith 
k ttnrkinx- Ili> wore llxit* dIkIiK ilnyo, l>'it no I'lynllMa rimiinil. Hv llini r««lricU'<l 
liiHiUoi, li]pilLiiiiv'ir'AiunncM, ainil Ux'ii tofi tliu |ilii>iri-fs mi fur iwpti tucjgbi dajm, 
but no HHlivnlioa cnnifd. la ntlier «xi>fiiniput« lie n)i|ili<Hl Ivta niMruria) elnt- 
inpDt. but with fitctioti. •■■<) in three <1ii,vh piynlisni enaiirtl. Id uiioUier (>x|>orlni«it 
lifl uptillM niorenrtal oiutmoiit tonpt'*^ ■urfiicoof oacbfoot nnd note ollvlolli alofk- 
iiifpi fut Mil ttnya, wlUiont oSfi^I. Ho oaneladoa tbnt iiiib*t«n««ii arc nut Eniiinl in 
Ttii'i rtivniaiimi riiiiii nnnnd or atirudril akin, lint hn doM not coiielndv tbnl Ibere 
■fit no itl-)'itb('iile lHin*titli tbn »Lin. 

In I8U0 1>r. Ruulif n 1>. Mnwv.v. iif MnKuirhnmltH, piiblinliM noirie i>\pKriui'>nU on 
fiiitanoOBH Nbxuriiliiiu, I He Htnlt^ lliat dutibls a» to tlio iibDorplJuu \ij Ibe akia 
weip Smt. riiiiii-il by Mr. .''c;;'"".' "I" P"''»- "ml by tbc Bxpcrimi-titd «( l>ni. RonM««n. 
I>niig«Tlli'li1. mill KInpp. AUIi<iit)tl> bi! ntluiira to Dr. Klnpp'n rxpfiimcntw, I rnii 
not Oiii] Hiiy p'ib|iriili«n of tbc Hatiiv Ix-furu 1811. 8iiii'it rolovvil HiiliHiaarrs. un mad- 
drr, nru nbiinrbcd by tbu iutvatiiKil ciio.il nii<'l>i>iif;i.-il, lir Kturloil nimiu «xp«nBivt>lii 
; wllb It. In lii« first Ino i-xp«nm<'iitd hu inimi-tsfd bimsclf tu ii bulb of «tronj; 
tfBlflry infinioii of inml-ipr. Ilu Ibnn.l bis ntiiiu imge.! rnl hi lbr<« to five iMan 
unit wbnu tiv»tril vUh Ko ^t gnv« • piirjiliuli biuvru I'ltlor. In niiotber oxpori- 
iiiciil b« Wiik lili-il Ibii'c and flvo hoim nllur ihn bnlli, but The bluoil mthbi nppciuvd 
Ibe Konio, From llicnn (•xprilinriitii bi conrlndril tbut iiiAilitRr onlotvd llio nyiileni hf 
ciiUincouA nlwori'Ilon, nii-l iiut by tli« IntiKii. 

In 1809 Dr. J. Ke>Iniiiii t^oxe t pnbliHbixI apiipcrvniipoitlngtliodortriiMof ouUaii- 
lar nbtiorpttnn, but Iv luailp no ex|H<i'iciii>tit*. 

Ill IHll Dr. Jutvpli Kliipp4 piiblisht'd n pnpor upuu alMAqilioD, criticuinK Dr. 
Mn>«'>'*rxpriimL-iif(i, ilf< priibiibly wnn Ihn lint rann tu llivltiii(«il 8t«l<M to mnko 
a vlri4vctlun. In u dog t)io Iruclii-ii wim ticil aft, irl»n a tube from n lioltln of tnr- 
pMilttu' wan llitnilarHl tolo tho trnvbca bcloir thn lih'K'nrr. Tbu iloK Inlialtil tba 
tiir^irntiiiA for two hooni, wli»n the cnb? and lieiiliirn wi^re rrniioviid rrviu Ihn 
traoheM. Tliv iirtni' ivillrcint) had a ulinnic violet odnr. Aflar t|iioUu)! Dr. DHnj,'er- 
livid** expert i"<*titji, li* iutUm nt Ibr roiu'liioloii tbnl, llto ipitroiiry l« volimlii>-d ■□<! 
itiiinl«l by Hid hinux. To MipporL Ibtt vlrw, lir bad lik ••■ivniit rub niri<:QriJtl oinl- 
nifnt on tbe iaf-UU ot Ihn doi-ior's kj; an lioitr m a time, twice dull) . for hit dAyit. 
Dr. Klupp btenlbrd puir air ftiun i»il of doiir» by means of (iibe (bmiit-b a wiiiilon^ 
At Ihn riid of six day* bi> had uut the HlighleHt s.-ilivittiiiu. but (bv Mmint whh liadly 
jitynlir^l, » that tbe experinii-nt w«a urrusleit. iillbongh tli« aorvitnt trnrr kIovm 
dnrhiK tli« frktlonn. In this paper lie iilludea tu Dr. Darwio'a Ibnnry of a auppiiMHl 
" Oo«^onal coiimyADei' of finida from llin ■tomn^h to blaitiler by Kipjioi^d lnvnil*il 
moliun of urinary lyiiipbntlr*. To dUprovn Ibli^ Dm. KUpp nuit Koitnr* pdrforiiMxl 
1Im> fnlldviii}; nxpfriiiii'iit: Ojinneil Ibu ulidomen of a do;;; both iirrlors iror« li«il 
off uboTnlbo bladder; urine piuuedoiil uf bliidder: bin punis lifpled. Dog waa llutn 
Ifivpu Kill, miKldrr, and uilro fur an bonr or two. At Ibe (<iid of deve«i lionni the 
lilaildnir wiih found I'lDpty. Dra. Rmilb and Rouaieau.l in I8lt, made mmiio expnrU 
Bienix npoM rtitti'iilHr abturpllon. Tliey fonnd. aa Mu»cr. that madder >> abatirlmil 
by Ibe Hkin and ridor>> tbeiirln*. Tiiry fonnil tlioauni* to Ih< trim of tbiibarb. TlHiy 
also klnle tliat noiioiiioK^nla, naientlra. or (>olarln|i aubalancea bave Ibn itliicblmtt 
nffrtdif lbnnattrilHare«li>piw<1. 



I 



*Tli»u tThEiBr*IIy of ^nn^TlTaala. 
lt-l>iI-<lr'!|>Mi>U<-AI<,il»aiini)*lnit.rf>lrML 



:!■■■ 



,-l.:,,\.. 



• I Miiinnin. *■ ii. 
il ll-r>«iini. Ti, B. 
i>l UiiKfuai. mil. 



PA?i-AMEBICAK MEDICAL CO^fORESS. 



1185 



w 

Inll 

KM 

r 




From 1811 to im tlt«n !■ ao hoi»i1 of so; phj-ftiologic*! papnn. In ISSl Dni. 
Illclinrri llnrlnii, J. K. LowreiKTr, moil B. N'. Coal*,' ft couiinittc« of thn Aciulemy nf 
MnUciDoor I'lilloilelpbia, inailo a rpjiorl nn th« meanalij which abBurptinD i««ff«tail. 
U'UIUin and Jnlin IIuDlor Ili«iigbt Mi|>|>ni'ratca and Gnlen inermi :n atalinx Chat 
BbuiTiitli>iitnokplae« hy the vrina. Tile IfiinUnproviMl That it iraaacconipllabnl by 
lymphaxlm MugtmiVut. iilMiit tliia pnriMl, balicTnil it took placo b; tba vrrlna, 
wklrb vaa eunllriuml bj- llnTlim, LaHrunm, and Coata. They ahowail tbo arnsrof 
lanlxM' nipxrlmmU. Tlictn (Trnllenno Dimd forty-lhree aiiimaU. Tbolr ciMicla- 
WMa thai th4i coloring innttf i* wnre not ab«orli«J bj Uia InotoaJa In tlMi tl(iiig 
Pruulalv iif potaali rotcra bj tbo tnctonJa auil tbiiRwic ilnol. If yua mix 
WBtCB anil pniiiaid ai'iil yon iloainiy Ufa bjr an avilvn apoii tbg n«rr0a. Coii- 
inrj to tba aaaMli'iii iif M >geii<lti\ tiik will hot infillmt* t)i« living bndy, Wimi H 
•raa placed in th« iiilfliiKr. pvritniieal. ami plviical oiivitiM It waa not aliaoibeil, 
Tlia (Mlm* •frampbiM. aiinl, and aKtfi-ti'U irii>ltr.tte tliTuii|;li tlio ioMitiiie. 

rba obmoii'al an<l mioruua aiiboijiicua abui« iii«iili»ii«it aiv atiMiibcd tnm tlia 
■luniK-li aloirnr tban ftoiu tli« luu-alinii, and fToni iho puriluDBal oarttjr vvca 
ikiwaf will witb mar* dlOlcaUy. Tlioy nbovrcd lli tt itbitorplion dona nat ooma frou) 
arlatUi* «ir]uilir»ly, Tbny Med auinial* to dnntli, tied their MirtM, and tlittt 
It^actMl aslrnn fluid iqId Ihn p«iitoiiT<al cavity and f»iind Ibat autna dUapprared. 
l» tK33 Dr. Jobn Ilitbtmtdf niado aoraa esp«rltnoiita iii>iiii nliiwiptlon. Ha tflvil to 
prov« that al'toirpiiiHi t<K>lrpIa<« by tho lympbatioa. aud imt ibroiicb iho walla of iba 
kala« and attciin. He cipMud iu a nanber of aiilniaU llw arl«riea and vaiaa, aiid 
lar«il (Fail plalM OH carda iiiidrmi'ulb tli« Tc>«iel au tJiat tlio (rail of the v«a«»l 
'mm til tn liatlied by the aaliitionanitbuul tlieaoliitioualuticbing tli« wound. B« then 
npplliHl prnaaie add and dux votnica to ilia iralU uf the Touwla fur tweuly to tblitjr 
tea, and tbey had no «flc«t. Later tie placwl ilifsa Aviffi in the wound and 
warn promptly abanrbod and prodiiccd ebaracteriatic eiTvcta. Ue alao made 
<l experUoatiia to abow tlml the nnx romiea and pmiaic acid we>rB i;oi>d 
liraparBlloD*. 

In ilitt aaiMi year Df . Bobni Malnort publlalMHl a paper on tbeabaoriiUon of active 
a>a.li*ilnfl Into the otrciilallon, and alaa the eir<>ola nf tiiilclllva cnamata. He RiKl 
■hnvallis pbyaioliigii'al n«lii>n of ganibo;,-* uiid latlnr eiiirlii^ wli<-ii iii|«ct<-d dlini'tly 
lata tbe J'i;:<iUra or cala and doge. He tlini inJMitud Haiircllila into the vciim. and 
and lla uilor in the bluod for aome limn. He injected iiiUk into the jugnlm tcIu 
lfarf« lnat«ii<-«* wlthnnt pfodneiii); death, allowing that iiatritiveflnida can he 
ilwrtly Ihrnwn Into the citRQlnlino with impiiiiily. Ho fod a dci^ npoa ({nd'e In 
.ll eftrrnarilii ho killeil the aniinal and found tl>e whole hodyaaluratMl with tho 
iir. 'rba blood gtre oS tba odoi of (iirlio after (he animal bad be««i fed on It for 
few daya. Hi- (r<\ a dos on IniliKo and foiiiul tlie color in tlie Ia«tea1a. He fed a dojf 
«n rknUaib, killed bim In one bcinr and a half, and found rbubnib lu the bile. Ho 
'f ma«ted inoddoT lulu tbe btoad and found It in the botiea. He fed aevetal oati on 
«ii*ciu>ta of aillk. tnntlon. and ehirknn Ixnth, and found all;;bt alteration In wci|(hl. 
Tbia dmiuuatrmlail that thoy eoald Tcnitlly take nntiiincnt per anum, and tlial »nl)l- 
t wMi atiMirlied lo auatala life. In ItCS f>t. JtonUBiont Ixcan hla eelohratod 
lie* n)>ou Ataxia SLMartlniabowlriXdirrniaof Uiepiatrie JnlMnpon thnfixHU. 
la VUtt Dr. Toiciiol nada aaoriaeaf expri iiuddU u|kiu tindoi^ai'uia and niuaiiMiaia. 
laaipirrltixitila nara oonfinnatory of Mr. IHilroi'bvt. 'i'bo expciritneala wore made 
Ith til" (iit>-iiiliiea and cropaof fowla, aa Wfll aa with tbe akin of a nt. TIte llnidn 
wrin fi-timaTablo tulntiou, nulir, weak :ield,aad alkaline i><>liill'>u, tie |iiuvi>d 
Ikat pndiMiiMMla ocoaia iu a terlalii nieuibiaiio aa loiij; aa lla riiiTiiKnUlim » notmiil. 
Whan It beooniNa putrid, eioamoaia Inkea place very rapid ly. He siiuwnl that eiido* 
■mala and axaawoalaaau foou al tbeaauia time. TliedeUtet ut two lliiuiiU indUMa 

•rUlaAtltUa Ueiloal aad Pbyalay Sfkneta, IQI. 

I l-IUIaadaU* y«fail tt IMlol will l-hjalul Scioaia. VaL I*. 

laiwllnli Unlui*! Junrnal, 107. 

B. Ex. 341 TO 



[••> 



III 



iMMd 



]186 



FAN-AM KRirAN UEIUCAL CONGRESS. 



lli«nr«rtaforni*carr'iil tawnnl ilieforiaw. Bjiurerrioi^IbeBippriniPDl IvflfMinil 
(li«>i>nin thiiiK voiili) (jbi> |>Ufi.- ths iillior vay ilirini^lL aiiiniiil QietnlirBDiw. 

In 1827 Mt. .Iaiiw« Moultrie. Jr.," jiublishcd ii |>iip. r ii|ic>ii tb*i iiw nf Ibe lrn)|>li. 
Ilo noiKUultt (liat lyiniili >■ not n rtaidiury flniil lntniii)illc<l frum aitntitm Is vhIim 1 
Qor droompniM^ iiiatlvruf lium- which it ii the nfllcoof BlworWnta Id n-iiiovn. TliaJ 
utl)(lii, until IV, ami (Ivnliniitiiiii ul Ijmph rvn>l»T It prolmblfl tliut It In « ajircliil nerrrn-i 
tlol). It* ndW Uto vivliy tliii nlifl*^ t«au|[iii«nt tli« luiliimllratlon nfniti'Hnl MihhIi j 
ami, lutly, to pnnliM'-v all tliiMP i>n'(>climlilrli cviisttlul* ili* iiliaoumMiit "f iv<|>rDi1ii«-^ 

iloii. mlbMiou, ntc. 'ni«lxiiiplialii-*,iieciirilln^> tt> lilin.fttw not III* alMorl in of tli«| 

IhmIj. 

Ill 11^30 Vt. ICtlwin D. runs). I at Coliimliiii. S. C., iiinilf n v-ti«a of ex|i«riiii*iiU I 
Ollil olnervdtiou* lui eniliiniaiixis allil exiuniiuii ur giiiwa untl tlie ivliilliii) of lli(-«4i I 
pliMiiunenA witli tlui I'lim-linnn nf tvaiiiitiltnii. Ilo iFvi.-nn tlie work ilniiv n<i tlie 
iDtI.'rcbnn|[t^ of itmr* Ihrnoulj nnimiil inniubratiii*. Ita mnkos imou oxpi'ritiinilB vritli 
•Biliwiiinini^for. iinliiK iiiti>ii:<''>i liyilioKcD, rnrl-iiil<i fti'lil, nml nir, Wlirii uiuipii are 
•npaT»t*iil t>>' A iiii>rii1>fnii<>, buili »rtlioiii )iiu>s timing; li piiTtliitiiih. Ifuton' (irotliot|m>- 
it»iiiin»liw. Ho tlii'n *)>iil)e» iali-Tc)iaii|^-« of (.-umw ti> i««|ilnitluii, *b««lnf IIiato la ft 
cliBlnirikl null III until) [I 

In 1830 I>r. l^u■lt>lI^I Jnvk^rin; |>iil>liiilHiil .i |>iii»t ii|iuu tlie )»iNp hikI it»iii<iiUllciili'in. 
Its diona tlist Itio frc4uei<vx- foive, nitil Tli.vilim ot piilHu ilvpcml iipoii Ibv lirarl i 
Ibc rulutii(> •■( llio piilito itn llie eomlitiim of llw cnpilluriiw. Tbo ouadilioB uf tlw 
itrtiriM uioilltlrH the leiiiiidii n( tli« piiW. ^ 

Id 18S(I Dr. J. K. Mlli'lii-tlf piilillntii'il n iNiporoii Ilic poiKitiallvviirw of lliiMa, ^| 
Allar *b»wtn|i lion ifakpiiiitiK^Kiili- iiiviiibrjiiiut uf gum oluotlr nml ulun niiiliuil iik>ii>- ^^ 
biuilt*. )ic Hin-tir «xj«'iiiiiMil« witb «iil|iliiiii>tli>il br'lr<>t!«li, i^ililinnlc ocltl, iillrdicrii, 
and li}ilr<>)|rii. Ilw hli«ii« %'vfj vtrmly llinl tliry i>rii»ttnl* thu niMiilirnnoi of tli« M 
IliMly. Il^ lii,)R>'til x-i'lali- i>f li>U(l lulu lb« lieliti'iipal v-»vily, jiimI tbn iiiil|i1iiirrtlnl H 
liyOtoKMi Intii ili«> ri'iitiiiii. Tha iiiiimiil die* :^iiil lii< llmlx n prorlplliilt' <ivi<r ib« 
in («i till', M(< tliPti tiii-« tbi." iitli'ii'biitiiju iif ili1)Vi'riit lliiiil*, alvitliol. olbcr, arlil, aiKl 
alkikli wiilor, filo.. tbri>ii);h -hflrreiit ituiiniil iiiciiibniTiiifl, );iiiii etaatio, bUiliIri, himI 
biiiiiiiii akin. He aliuwn rcry hdU tbc poDctrBtivciicn* uf eiiiii'a in orgauic liuue. 
Tlie ralioof iwiinlriitiuufor kusm ileponiUon thci>iiiloii«, while for li<inldii it ilnpcMila 
on linih IJie li'inMi iinil tiuiim. 

■□ 1831 Dr. Willinui V. Volk.l of Prai iilniiPK, R. I., piibli*bei1 a paper upon micro- 
•coplcnl iilmcrvulion mi purtioiw ot aniiii*) liuiin, with ailillliiMal oxporiiiieiilit on 
*ni]o»uici>lii ntid RXnuiU'inlii. Ilia rMulU were nut In Iisi'niaiij with tlimu< at Itr.^M 
Tngno. Ilr> niii III* extii-iiiueiitA for «ev»fiil lUys witb crop and InloRtluMof a fowl. ^ 
(Id foil [III euilii*<iiio«ls In liilwitiuw, auil aiomiumli in vrop and owodib. It U pr<ibabln 
Ibat lliu (Ivnuupiwitiiin nf bla uiMiibrnnM oaoMil bl« ttlsB^tyimclit wltb tbo roKUlta^K 
ot Ur. 1'uij;i>i». ^M 

Id I8S3 i>T. M>«rir« yilx Oihbouf pnlillclivil n paper An tb* ftiroo* by wblcb iho^ 
blonil eiii'ulalifl. He iliue<liMl aFvernl Leiiiin In dutriaiine tbe iitinngeaiMtl uf tbn 
UliUi-iiIur flIic/K. 

In itfSl l>r. l^iTiDPlJai'kiioiiJor Pbilniti'lpbla.puliltiiliKila rt<vl«vri>rU»«MlJ»ot ol 
aliaorplion. nitll Hiiue rx|ia>[ilitii|il«. Tlif pappf I* o vviy Imclliy nli'l e\linii>liva 
aitr, mill t oLhII •hiK nj-nak of u li^ir polnl* in It. ArcorlknK In lilni tIio*klii iibMirl>», 
a* i]» tbn lnns>> ■toiiiai'b, rellnlur, ami •■^imih tiiuiin*. Iln •(•■■iik« «f tii. .1. K. 
Mit'lirll lu)<r<il4D2 liit» tlio pli-iiriil ruvll.v Milntifiii ■alplmtf? of iiuii iiml priuaiuli' tif 
potujtb iiilD tbi> pi!rit«iii-al raviiy. I|« ■uw u liltio ciiloT III llin vein* of illiipbraKni. 
Il« aUo ii[Mf«ka of i luktiiliii aluoijitluti, Ibo pari of ab«<>rptl<>ii lu iiiiUWIon, ami iba 
nHH'liBDl*Di iif »liit>ii)iti»ii. Dr. Jaekaon PXpiMmt ninl lluatful tbu nxt'-iitnl Jnuular 
win tu two plnuin, upj'lloit prutaUI« of putiMh l<i wall uf v«iti aail ulilalund a bla« 



* 



•AHarlran llnlital Jixinwl. MT. 
1Ahi"'|i*ii U'dlfAl ■■■■wual, Vul. y.|, ji.a, 
tAHUi(*uMt<lHalJiiunMil.UBy. IKW. 



i ABitrlnin Uc4tral JonraiJ. T<t. < 

Ancrkau M*illealJ*«ni»l. 

% Amtrlnaa Uadlcal JikhmJ, ItO. 




rXV-AUKKKAS UKIMCAI. COK()Rt:S& 



1187 



I 



MiW on tr«>it«e llolPB vf T*ia ar Bprna «lUi MilpIiBto <4 iron, Arpurilwg to him 
lliry|Mv*«d IbHi lj>'i[>1i>llf« votr nut esrliMitel; |li* uiiljr aintiia ol alaurplUiB. Il« 
■ralM Ihul tlrt>|i*7 la ranafal bj t)>r»rtlTa aliaMlitlMU, tlul it to * *lc« uf ■■tltliim 
■fill iu|<a'TVli4lla<) *Utlr of lllv hlliixl. 

In IKM) llf. J. K. UilrWII * |Hil>lUlml a ra|>*r(ia p*nrlRit<o«arca<r)i. nvn<t>»lltit 
■Utt> nipvHawntii lu ■ p'lHT }nal nirflnal «ih1 lii'iini tliAt t)>r 1nir*i>rilllliiiih><i ■■klalr- 
IUImhI hj Mr tinliiitii, of litiiasuw. <lo iwil afpl; to anlnisl ivviBtimM* cif a ohxiv 
•imriMtv than alurru. 

Ill l)CH l>r, K"1-Ti K- RoK'"'*.' '►'' I 'hlUiIpl !•'''•• l-iil'li'li"*! •■■■«■ r^iM-riiiiMit* nym 
Uia liliHol H" fonail iliat rvliamlhia h> hU air ii*""]' hiiil no BilMt •>» droUliie 
("il., A ' ■" at iVi K. <1<«»" dirt il iaiiUi-r rnrl-oiiit wltl, CatlHinir art'l I* 

aliBnt-l-pi' 1 1!* ivnniio IiI.khI. Tli' pciiiwun' of vrnoiii bliiuil ii><>iii|>n. Diiiw- 

l^ri iiilmiii oiitli- il-vH lint (liBiiljre miWiili' nrul, ■tl)i<-i>t:l> Mdiv >■( 

par 1 1 << >tni)'«^D| to aliwirtMHl, Wlixi T«Di>«a IiIihmI U put in H liajc nilb 

aimaari in an aiMiwiibiirn uf ux]r|;rii,%jilrDig*ii, etc., Ibrn iiiure cailiiiiir Wli) is^tfon 
«<. 

In IKMI |)r. JiiliB |), t'ldnT, i>r Bnatou, tiolilUlieil a fmitet uimhi Ihn CPirWIIaHi, 
alliKillij! a la** of wiiuil ■nuan. 

Ik t<QN( t>r, JiiliM W. fitaprt |Hil>tii>lin| a |Ki|writn miiiii> Morhniiiml fiIiirU«iDa. Ibn 
caAnlinaltot) if Ui« <llSii>l*>n lawn, I>t I'rofnHHW liialian, and llif> rx|irtlninola<if l>r. 

K. MttrWIL Tbtt IMIHT •limlH with ilKTitvUu iil co"^ "Bit HboMa itial ]Hmliar 
wtrkl ruiM-tliHu >l>-|<*tH) w UiB <>»r«liU.>ii of tp\ttiiu. Tlirjr oftrti. In a|>tipar. 
an Ibe gmi>TBl»iii nf jMotT, Kntliwinmis i» a lUiiiifi-dliiltiKi of ca|i|IUry 
tUm hikI tl<« iKil limT nov |m iiltarti'Utiau lu<-iKniii'>tii>n. T1i«4v i> Mtuaaa 
on it-rwul wtiriii i-iitlitfiiiii-al* lia< edx lal a va\ eWniu-al i.luBi;p. 

In IKX Ot. J. J. Alt>»-ii t ihiIiIihImmI ri|<*niB<-uli> |>ruvlEi|; the exiufninior a v^fiiMia 
pnlMi, lD<li-|<*<i>t>>Ht »t Iwoil nnit Dt-rToa* •,^>tenl. witli triiiark* on i'i>iilra<'tillt,v of 
t<l«a tu K'"'*'")' "o u'l't' rijivrliKi'Ut* upon aiiiiiLnl*. iiiiil n<'t«il Ibiil Ih* <piihi 
rava' ariO piitiix'tiniT \f lu> pnUuIn tii funr I'lAura n{ Ti-tlfWttn. IfthlPtmloii )•;■ 
IiImhI !• nirt (tPi'i'xiiri fiif Ibctr roatiiirllMi. Ill IKm I tin. I'.VV. IViiiMick ami Uonir^ 
pi(lil>ii>iiHl a |ia|H'l npmi llir h*uH'<i orltiMl. Tlmlr niiwdiiiriila sirif innilr u|miii aii. 
tj>l»i i-j>l*nt anil all")', t>Ii>. Hanly, HtlU', (Iinitgn tl. WuvU. nnii Mr. Itiinia WiDK 
frnwiBl. 'fliv ■•iimnlH wm« kniM'kvd mi iIm brad ullh aii a^i*. Arlllirial rm>|nra- 
ItiMi WImk kfpl ap lijr a bvlloir*, Ibe «U*«1 i>|Hitimt lsiii!>li»linall}-, llio b««rl 
lnai m«1 uimI >ta MHinila Ilal4>ii«l !■> tt)r anutbnr BiembiT wilk » •■lnllitiMMipe. 'tlipy 
•UlaralMiMl ikal Ui« lm|>ulM< wna BjiBptironiHia with lbs r«iilri>-iiUr «iaUa«ltnti 
•■ouwd tif B|iFi alriklnff rbtuit wall. Tlia I>I>mhI I* r«|>p|l»l Uvn the vwiilrirlca by 
■|>fMia(tnutilaii(if «BtU anil ant )■) Kiintrartlun iif ntu>ii inwiiiit luon. [ki)rlnK ^,i'<rlnl« 
llw 1>r«rt |wf(<iiBi<i avlral innvniiK'nIa aB<l Imiiinc* clulijiatHl. Thi> vmlrlrln rmi. 

Iiii'la (ii'l ll>« BiiTirb' dllul»>i at llxi itatii' lliiir, ( ipvlnu oiio-lialf Ilii- »liiili> rycla 

wr K'lia. IHanliili- initnciliHlrljr roltiiWH ayntnln. ngiial Is otin fmirlli ttl rvi'l*, tlia 
«Mtirlp •liiiilDUiini; >>j riii|ititi>^ M'Kiit Int" vriiirldra wlib'xil iiiiiacntnr <aiatrii«' 
■lull. Tlia Tinualiiiiiff iinp (uarth U lUvoUd to mt, urar tltr trriitlnatinii nt wkicli 
llw antli'la rutilnM'ta ai'tivvly. Tlie aoaoil* of tli* bonrt ari< prnilnrrit hr ni»|i«na 
of hnait on Ita I'Diiliiula luiil Mil [tr atrikinit '|I*iiv*l otic^I wall. SoriniU nrrv 
niTitli luiiiW ■liMi •l*'l)i'M''o|Mi illri-i'tly u|it<1i<-il lu Ix-art Iban wlirn rlkMi <kM «r 
liiiis >■ liiliir|>ir>*d. 'I'bit HMtii'l* art- nioiD <li>iinul wlii-o lutiw-lo in tlihi nniJ <aii- 
■ nu-ia iiDiekty. llriKc rh-iir ltB|-[iinii Miami iirer tifflit vciititcle na (oiii|Hrvil with 
Ifli. Vin\ miuoA ibii>iiIv bikI iH>lrlrnl»r a)*!"!* Bf ■> nrln»ii<>i». MiiKCular ran. 
irai'ttufi U tliv I'dlrf UeUit Id lla |<niilii<'li>'n. Tir it ■■ li<sir>1 in fl:itiqiat»<l btrnit wllli 
Biirlcalu-vmittlniUr vbItm Ii<»IJ «p. Cul'lntrlia* of anriole, lUi>ping of aurii-iilo- 
trk'Ular t»lvai, nml ni*lilii|[ nf btiiMl wajr 0<HilHlinli> l» It. 11m> ■■i-iiciil ■omul 




■AB«rl«BU..Il.. 
I AHiluui U 

tAMftMU II' < 



..I KAlLlK f AwrlMaUnlknUnarnal toa. 

'■. t-.3t1. JiAiw'l-iia llt>lkalJ<iurUfel. 

. >. 1 >la4l>al KunilMr. 1*9D. 



1188 



PAK- AMERICAN MEDICAL. CONGRESS. 



exoliuiT«)j' doe tooItMureof theaemiluokrvalTea. Th««MoiiilHtiadUijiieh 
with dJMiiiIfl of T«iitrirU. In 1X39* Prof. Jo««pIi n«nr; wm thii Hnt to i[r*iltut« 
etccUic*! curieiita hj ■ti<liT>;: tlic Kcomlarj coil in a gruove to •ml fonii the I'riniMf , 
w iH done in Du BoiH-ltefniumri) tDdnclatinm. 

In 1940 tJie mndical rtpulcy t »f l.aocoaMr, Pa., miu1« mimi «xi<«Tiin««t* njion 111* 
biidy of fta uncutMl oiimina). I>ni. Johii Rti<) \VwiIiIiik1«r .KtU-f wnrc liHioii|; Ui* 
nliaerv«<ni alsn I>r. J. K. Ultchrll. Tlirj foiin.l tUnI wli-ii llm uir lakrti frum th* 
liin^b«for«ki)d aftpr «s*«Dlion wannniljcMl Ihnt 11)0 CO, liirr«u«d aii>l IIm> vxjK^n 
iliiuinisbeil after the axBCOtioii. Id IttlJ I>r. C. A. l.r«l t>iibll*liml » iBixiuutnpIt on 
Ilia tbjniai^niKl. Ui)A*irlbauili-rD*''ot>'Ui* it'*'"' "Mf^fl ru miiiitiii mi f>ii»niMiia 
dBiolior of while blmx] rorpiiiH-Io*. asil ho l)«llav«tl Ita fnnvlioit lo bn cIumIj con- 
»eiTi«(l witli liiPuiato«l« aii'l ah.vlifiealtixi. 

In 1843 Dr. RIaxichaKi lioj-att ( rcjiorleil a eaae «f m girl, «t. 16, limrinir paMwd 
piibortj', «))« went into h ileop alt-i-p, or "ct>l«1«ii«j," luha oalU il. wl>(ti»et«d apon 
by a nuRuetJirer for fift«*ci niinnle*. • 

In 1MT t>r. &amiicl Kii»1:iml.^ of Boalua, poblMeil an ariidrnpon tlionMof cold 
water tat the picrontina and cure of dUcoiA. He apcska of Ibe ua# of c«ld bntlu in 
favara and hj-drothernpy tii srurrnl. 

Id 1SI7 I>r. C. W. Pi-miockt pnblUU^d a|>aiier iipnoiha frnqnciiey nttiui piitiwiaail 
rMpirslton of the ai:«l. lln tuada hia oldi-ivatiolu ill Ibc Phitriitrliiliiit llii>|.|(al. 
He etc)nil*il all <m'^< nllb i-aKliac, pnliiiotinry, or oilier iILaeBiH.. Tb» iilMurtntinna 
wvr« niaria fonr hmir* ntXvt mtah, witli llie palimt elttiti;; or utauiUim. He eiiun- 
Ineil ITO Bien, aijcm from 50 to 90 reara, and 'Mi wonoa, tif^M fTem SO In 115 j'oais. 
Tbeavetag«a^ of lbetneBwaa64.09 years. Tbeir averaga pitb«vas71.H3; average 
r«Biiimloii, W,3I; mliuliS.S. Tbeav«raK*ago»rili« wumun wsATO-ST^-van; Ibrlr 
avcraga |i<ttae. T8.03; (heir arrrage rcapiralliMi 3S.06: ratio 1:3,50. H*) conclutl^^ 
inlhw very ralualik and tificnlilie papi-r thai rbe frc<)ti«i>'y of the pnlwuf Ifaeafieil 
Is |[renl«r than tmiialty aclDii(ti>d. TIm tvapiiaiioa fi«qntaicy of oM age la «<iaal to 
ihut iif tlHi odolt niiildio ago. 

In 19lt*-'li0 Dr. Il«nii«t Dowlerl made lome eontrlbotiona to pby«lo1aiiy. lie out 
(lieiiplnal<>ardo(Rlli|[«t'iiiiS(iilfnnD>l raor«iiifinta inlbc head anil in the parlo behind 
tliearrlion. Tbeliead Ul«lli>blt« n hnn one camnnrar II, audit winked. Hearg<ti<a 
Uiat Ihia wna nut rrllni. Iiennnun there wm do contiwl. .iMonllng In Mia lb* apiiial 
riwtl ninvi'Rirnla wrfo from incaiury and Bol reflex. Eviaoorallon Aot* mil kill tlte 
alllKalor. Ibo bnurt beating for bntita. Llj^iiture of Ihe tr»nban kllU thU atiiin*! 
i|iiinlier tlian aeolian of the iipin:>l <-ord. 

In IM8 Dr. CbariM l-Xek.f of liullimute, publinbeil hi* jiaper upnn lh« blood, Ita 
amount of fibrin In ilKTerMitdiaeaM*. 

Ill IMS Dr. Ui-orce Wyinlxfly Jonea, of Georgia, tniMie an eiperi mental ini)iilry 
into the eotreetneH* of Poiacnille'a theory of the purKstire action of ewUiii lulta. 
Ho can not ■«« why on* ahonld concluila tbnt catbaitica purge by meaaa of t^diM- 
mmiia becaaae the blood aeram pcrmeatca an animal meiabcaiie to ninglo with tli« 
•nlpbalo of aodft- 

In 1M9 I>r. Jann* Dlalie, of St. l.onia, icavn a rfttami at esprriinoata lo dttenaiM 
Uia i|itaiitlly of bluiid by menoa of aiilpbule of almiiina. 

Ill 1819^ I>r. J. Locke,of Cincinnati, gave UB the principle af thaelMtro-maKUMIo 
Itmn innrker. 

Ill I81il Dr. J. C. Walton publiabeil hU fwmoiia rcaearrbea upon the oorpDa Inlvnm. 

In UKia Dr. Brown '.Si-qmiril f-uve aa llie great rcKorchira whicb b« hul wnrkad ont 
during ihe paat ci^-lil y«*ra. 'Pboy aro too voluminmia to abairael. 

*Ela(lraTI>y>talacy, Mcriaii'*. MM. 
lAaarlMa M(4I»I Jonrnal. imo. 
I Aawrlcaa UeilMlJoiinHl, tW. 
lAawllu Hfdloil JwUBiL 

I X*w Ottaaaa Utdloal and SurElcel Jauraal, IU>-tO. 
H nfalalefilMba Uatludik OMohwdka. 



PAK-AUEBICAN MEDICAL CONQRESH. 



1189 



I 



In IWS t>T. 8. Wolr UiUiImU pnbttklMtl ft papct •ImkIiije tbnt fmAlng liog» up«D 

1b 18M Dr. J. C Wultun pnbliati(-il hbt |uip«r ii|ioii th« moveiowt of Ibo ){lattU in 
iM|>intlioii, doiDoaalraliug tiiat ilaiini; uoriual ipfipiraliuti there is n roiuiiuit aiitl 
i(i|;uUi movoiiMtiluf tlio voiw] CDiiUb}' wbUli lko|;lolli>ij> nlteniateljr ciilaticodaitil 
•lliululiibed. 

In UHM Dr. S. \V«lr MItcbnII pulitlnlwd a papxr upDn IImi r«)nt(m of Iba |>uli>e to 
tha tmvlniioD. Ha Und* tbii piiUo nta loMimoiI lu luii|>tinlli>ii luitl luiTPMvd ill 
•I|Ur>tioii. 

lit Iti54 Dr. BHnmi^l JarMuia guve im ■ ptitr iipui) tii* illf!««tloD of futtjr in&tt«ni 
by tha paaiireHlir jii]<-i>, «iiii>niil»K Bonianl'it w«rl(. 

Ill IH56 Dr. Willtnoi A. HniniU'itKl iinklLkbMl a )>»|>«r kliowlni; tli# ralatlon «f Utitik 
iBniii' Mid- He atiowpJ ih'it i>ik'<r<'ii>a iiifreasra urpit hikI iltiuiiiiKhM urio ■•'■■1, wtiile 
rtal itimiiUHbei iireu nml iiicii'ti>iti iitia noid. In his I'ltf «ir'l>>;;ic«l Mrmoin )i« iiiitkn* 
%niiwba(oror»l»;^'i<'ul cotilriliultun*, auob •> Iba ciTi'ot of nlculiol ami t<ibu«oo iiiinii 
tba coOitUtutliiB «f tile iiriuo. lie atxi hjnajintMir upim th^ nuuitirn valiioof atW' 
■uin, al«rob, wi4 itam. AiuiUier iKi|wr i* upnti tlir cfTcet ul tlio inJe«tion of una >iiil 
ulbar eiibaUDOw luto tlio blood. IIo uImi coutrtbutm a paper upon the »ctiuii »t 
•vtUta n^toklo •U<tri'll>«. 

In 1H65 Dr. Jowgili .Iodm pulilUboil • paper npon tba kiilnoya and iu ex«r«UiiB. 
lU ilitlaa tbnl lUv miuinat nf ftxnn-tloo dvpwida npoa Ibnumoiiiit of th« forr«itiid 
raplUilir of iliorlriiiilulioBi tba activity of tboakla, •cliiiu of eolou, BoUvUy of tli« 
fispiraliiMi, el alltra. 

Id iKVt tir. Juwpb .lonca ga*« aa a paper upon tbo di|-utiOiii of albumin nnd llMb 
and Iba mBipanktlvo aBUloBi.vof tlir |>niicti'ui. Iloeoiiliniifl ll^matd'* work. 

In IfCH Dr. K»ueU liiiriiv; SuuiUi Diiule wiibb rxp«(iiiMiiila upon Aloila St. Mnrtiii. 
ahiiirlnit Ibat acid i>f (l>u stoiua^'h 1* larlin ndiI lluit iiii<ylacei>iia uintortiil* arn 
aiMivarled iu Um atonuvb Into i;1a''"*n. Dr. Ualtxu >i|>p<MiiI IbM atatwii*«it, mm<|'|- 
i»X ^'t tl>* gjliiMi** eiixii'd In ili>' liK'iul iiiiiKl a* (mMl. To tbU •laMutitnt Dr. 
etailtli raiiticd lijr fe«din){ lii. ltiu»D-l>0(|iMrd (nftar wualilu)! out hia atoiitacli) wilb 
arrvwi.Mt, wbt' li ba aoiHi losiiiisl. (llaooao wat foanil U> be prea«tit. Ko iuaiillVB- 
IImii tif ibo arrrni iiwi wiu priTiiiilud. ■ 

1b IK'>it Dr. Jo»>pb JoiiM.nf (iForiiiHiiuailaa aeriotof exporinioiita, nndur Ibodlrtto-! 
Uifii ol I'ruf. JiM-pb CarMiii, an llio aoliou of aolina Mlutioua nf diffeicut dviw!tli« j 
upon living aaliiMl* and aUo tbn naJprooHl a/ilioiii tliioiijili dead aiiliiial nmiubraiw* 
uf avtUBi, walnr, and *kIIiii> *iduU<>n. IU cbiirtudril Uint tlia lana wbicli r«pilahi 
Miltwii "f uliiio Mtlatli'ii on living aulniala uiiu not bo JoaioaatraUd wltli ilead ani> 
nial iH"UilirBn*a. 

Iti "• • "r .loanph JonnpillillalKvl aiiotlii<rp«perupUB tli«obe«l<oa1, pbyaioal, Mid 
pti 1 liiTnali|,ili>M> upait tli« viul plMiiHiaicaa. ■tmctiir«, asd olUcea of til* j 

aoliila 'Xi'i nulilaof *iiliiult. 

In liCttDr. J.C Dra)<" pnlillalmla paper, "la ureBdaelo raiMcnlar motion t" and 
■If ' 1 upua Itii- n'upliultiiti. 

I <). r. L'aniiiiiiii piiidt*li«] n paper u|>oa tbe ca|>lIlflTlM of tli* lutijca. I 

lu 10^1 Uc. J. tX UalUin pnbllabod a |>a;H!r on Uia ilai-Mnjiosltion of lodlda of 
aturrli. 

Iti It'l Dr. J. C. Dulton piiMixliHl hi* e\|ii-r>ni<Mit« iii>nB Ibe wcretion of bile. Ho 
maili' trr Ktpntlin^iiU iipnii •iiiniiilii. iibowiii|* tbe dlllVrHil cciutilution of Ibo liila in 
dlArK'iil auluuU, lL« rua«thiB witb itnulrlo aud iutiatiiial Jnitea, andUiitly Itauicdo 
df •li*ari-«araiir* In llw BlIlUMUr) funal. 

Ib lif'i Dr. AuUa lllat, Jr., poblUliod u pii|>ar upon tba pbanomaBa of Ifaq oaplt- 
lar) rtrfuUtl'Mi. 

la IIC8 Dr. II. f, CaapboU, ftf Oaorgla, wait tbo llrit lo ■Boounoa tboUiMiiy kT 
nSoi ■•"-rvtkin ami Ibe 011*110 a Ki Btorr a]r«loi» of MTvn*. 

In UIU) l>r. J. C. DallOB pHbllabwl apapwupooUiapbyai«alaad<luiDioftlcbaii);M 
Ib tba tol«rior of Iba bod/. 



k 



dl^ 



11 no 



rAS-AMriMCAN Mi;t)lCAI- CO^filtEiM*. 



•r 

I 

I 



]il 18^7 Dr. f<^ Weir Slitv)i«l1 |>i*lilwhi»l bi* papor, " Kffvrl of atrnliol, Kljriwrfn, 
VHittr Kiiin, ■winonia ml Ihv vuouuin ii|wii tli« M)ia»wl Iwaciaor fViifjii. iMitiiitiii); lur- ^ 
llr«. nii<l *lnr|[«<in»." 

Ill IWH) l>r. K. WVIr Mitciliell j>iib1i«b«(l Ilia rnluaUlv iiiduuutu|>Ii iijiou Ibc vniaiu 
uf llii- ralll<«tiak(i.* 

Ill llMtl IH', .1. V. Iliilliiu piil'linli'sl It |>apor apnii t.h«< cernliRHiiiu. 

Ill IKSl Dr. AnMlii Klliil. .Ir, haw im a i>ii)i>>r oti ttit> jxiliiU riii>iM<rl«<l wiili iImJ 
nctino i>f the li<<aL-t aikI r««|iirBlivi). lit* molu mo tut faUavin: 11} Tb«> hiiid 
(lif ■Ii>s el'>ii;ia<rH •luring Nvi-lulu. (3> Tlio iitiliirAl (Kiiiiuliii of tttv iMiait tiuur in ili 
liluoil, AH'l tlie ■Ihiiiiliu CHii mil V<»uti|ili»'l Uj w:ilur nr niiy lliiiil of l(a»(-c drimlit.J 
(3) TliiT evriiatii>u <<uiisiii|; tlix rpllex nrl i>l riu-iii ration iv fui'i>iv(al rruui tbe ((••itntAl'l 
■VMtrni mill not iWn Ilin lungs or bi<aiU Thi- cvcituliuii ii duv to ik want ot iixjiiriltf 
in lbi> tiu-iini anil not (•• slimiilntiuf; }irup<-rlii>i i>r vpiihiih liloiiil, 

111 i'tll Vt. A't'iln flint, Jr., |iiil>liK|jiil n p.iixtr ii]iiiii ii ni-w cxrtptory fkinfiUim uf 
tile liv«r. dbdvlii;: tlinl rbiilooti-ria ii mniived (lam tbo Iili>a<l uiiil illMib«riinl ftuou^H 
[|i* Iiih1,v iu tli» rmiii 1)1* ntvrvarlii. ^| 

111 180^ l>r. Aiidlln Fliut, Jr., itiililUbsil a pa|iM iipnn tli« i{1]roog»tili] fiiactUm vf 
tlw livrr, 

111 IHIKI ttr. Anoiin I'lttit. Jr., gnvciua pftpur U]K>n Ibe orgauic iiilra][i>utin)d pii» 

CiptOk tit lllv tlHlt.V. 

Ill IMD Dr. f. tVVir MitelicU xaro us * moougraiib upon tbe phyaioloKf o( llu 
Ttupiralinn In dxilomii- 

lii iVtSi I>rH, HniiimmKi ami M!tcli«ll put>li>b«l tb«lr oxporlmtfiU npuu «orroval 
aixl NaO. 

In inn l>r. T. K. Noy«i piibliHbnl > pitpor njioii tb« •irri'tluii of iirva. 

In IfiSl Dr. S, Wvir Uit«b«ll i;nv>> im u.pii|mr iipiin ib« iPtrognsmivs uuillon \m 
biriU iiiniliirml b}' th<* upplii^utimi uf riiM <o llip corvii'nl Hpiii^ 

lo INit> Dr. & Weir Uil«ti«Il publiMbttl u pitper upou tlm phyaioloKjr of iIm < 
bvlliiix. 

In IWi Or. S. WoJr Milclioll puti)i<iliui) • pitpor upon Ibo inau««<iptlbilltj 
pigi'unit I" iijiiiiiu. 

Ill ISTii III. \Vin, l.iiok |iiilill>>1ii><t 4 pup><r u|i'>" tlie origin nf dlnl^U's. 

In IKTODr. II. C. Wuuil Tiiili)i<1i»<I a papunipun lbs pbyslolo^oal nrliouof vlriilla^ 
Voriiltuiilin. Biiil vi-iiilrin of i^'nim-'riii.'. 

Ill 1871 Dr. II. C Wou<l piibli)li«U u pnper upun tbe nctiou ■>! atrupja on lilrtU. 

Ill lid l>r, H. U. Wooil |[a«a un « puper iiiiou nilritu uf amfl, ila pbfaluluKlaalf 
M'tiuii. 

In lt!rs Dr. II. 0. Wooil i;nv« a* a pniior upon lbi< action of atr<ipli»», ami ilarili| 
Ibi' Haiiia yniir a pB|uw npuu Ibo Mcllon of tlir vtijcl »uil tli« ofl'rrta uf miwiich a«iF 
c^tliarliiM. 

In tK7l Dr. Analin Klinl, Jr., publi«lio(l a puper upon tlie luoi'liauutit of t»lln^ 
nvf voitn action iu normal rtnjiiralion. 

In tB7i Ur. JaineB I'utnnui pnkUslicd u papernimii Ibu pbjmlolo^ «f Ibn mdr 
(■•rrl'H. 

Iu IKil D miHio^frkpli upon corvino. rrratrlu. and tc^UnmluiD by tti«i Hpnulior. 

Iu IH7I tJn>. II. I'. Itnviltlfh ami Mtniii publlibiid a pupM' U|miu tli* lEilliMtniic r 
Blia-'ibi'tir* on llip viiiiiiiii.ilof I'luli^n, 

Iu IHTi) l>r, 11. I*, iliiwititi'h puMiNliml a |)«pi>riip(in viltury ui<itiaa.aDd in tliv b* 
ji-nr a pa|H^r apoiu (li» BTuvtli of rliililmi. 

In iifTH I>r. W. II. KUpp publinlioJ u pnpet upun llic ai-ljon of alry«lilila anil l> 
Juiiivii Munm Murruy upon tbr uction of ucuulllu and uuiiolllua. 

I'rof. Itabvrt Moada Uwltli Iu Ui« mmiu >Mr pulillalwd a papKr llpuM iIm ■otlaai 
aaiigalnaila. 



*AiDMinii< UntrsiLlJuurMl. 



PAN-AWi:ii(rAK MKincAL ciisneEss. 



1I9I 



[in IfRIt Dr. Auallii l-'liiii. Jr., iiDtilbnlml n p«|ior, Kx)ii!ciiiivnla uhI loditi-tluiH un 
■li»ul b«U. 

tin )ftn> I'rof. K. T. Ittfrhnrl* pnblliiljml a paiiM tin at>n«i»T|ib(a. 
I Jn llw HuiiM ,v0ttT |tT«. Mttiiiii niitl llnrtwnll |>«IiUaIit<iI ii t>n|wrr un tUe rMipiiadiry 

itrllau of tJwi Inlaifiwul niiihuln*. 
iJn 187V Dr. K. 11. UhltU.-a<li-» |tiili1t>liol a iMpnr ou Uii' Iwrnnltou urLjilrauullilii 
>iu Blbnntiii. 
Iti I87U • pni>«r Ij; •v'^ki-r an Ibu Bi»liial mrd. 
^ III l>)Tli Put. Bnwiitti-ii uiitt ilnriiiiwl ifuliltiJml r tiiipcr on tba tltwit of rMplralory 
PkovMiiral oil tbo rlrriiliiDvii. 

lu Ibn iiMiun )rar t>r. Snwatt pulilUliMl ■ pnp«T(it) lli« rlfcut «f twa •ii««M<iliii£ 
■liiiiiill oil BiiiM-nlot (Hiiilrxilioit, 
I t)r. ('. !^l>ili>r »l"i> fiiil>ll*hi->l 111 t!ii» real a |>ip(<r ••]■ hem (l.vi(]iniiiii, 
L As UiM t)ll*«(if |>it|K>rii liAte liei'oiit« tiM> niimi>ruiiH tu iiieiiliun. I itiall rofor ti> llio 
HinlMir piixlai'nl •<aeb yoir. an ci.>iii|iilp0 Iron) tbo luili-x Mi'iliciit- lii IH71> tLi-r* 
36 arllrko uii |>liynii)li>h'ioi>l aiibjcutfl: 18S0, .'U; IMSI. 21; IXKi. av; inKI, 1»; 
*l, ai; WW, W; IXHH. iO; 18X7,44; !»«*.»<; 1P«», BS; IMftO. 17. lluviiiK ri'iiawrtl 
I |>4itt litbotn iif Atiirtimn pbyitAoRitl*, it tcmuiiia lo •|>Nik l>tii-If y of tlin |>r««nnt. 
Tbi> prnuKil ilaUi of |>liyaliil»]iy In tli« I'utlari rilaliu U la a very |jr<>iiil8)iii; cniidt- 
Uiilihx KnKl*")^. ** <>■<' ■>■>* haoijiornl by lioi'Dam and runtflt'UHl iu niuIli<Ml» 
ilHiriniciiUtloii Tliv aiillTiviMMili<uit«i« arv, b»wevi<r, allll nrtlve, wpeuinlly in 
r iMata nf rniiiMyli-anln. It moiii* t« mo Ibal ttin iiiianininiiii liKlctxi'iiivot uf vivi- 
litn liy lhi> I'iiii-Anirnoiui I'ani-ni^ wniiUl tiu t^niit- iii>)'i<>|iiiaic, Tlii' wi'll- 
, UUiraUiriM St llmton. Wofm-alrr, Now llaTtiii. N«w Viiik, l'Iiilailrl|>liiii, 
anil I'liir*!^ iilhT urmil ii|i|>i>it mil lira tm aiiynnii miiliiuml with uny 
I tnro t"t rLw vinrk. I ^ay Htwrial lovti. for wilLuiil il you wiJl mil lulwr Imijc 
I it, a* it la (ixliiiHiiliug IhiiIi nniiiicJally un>l iiliyaii^nlly. Aa tu lli« rii'.urr. uvory. 
iIhk )■ <•( a n>>!i lirit-. Wilb Ma'Cvniu i;ivin([ Iroiii Hve lo twriity niilliiina tn alart 
llvrmltlM. il oiiiilil iHit t» (hi iliaii.-iill to liavu MlowBliiji* iu ]>bxM<ili>;,-y nl oiir 
■1* (•ml tin, wliirli alionlit bu opi'D tu Toni|>e(j[1i>ii. utid biilil iM l"iis aa Ilio paity 
I noilpiicv o( )Mi>|Crau>. Tbvy iiliollM Iw afaiilUviiTUt viilni'tn iiltiai't iilili> yoilllg 
KR, .VI Ifiut ll.i.ia abiNilil Iw lltn alnoiiiilof Hlary. Wicli a U-n MlonnUlpt In 
yaloUifcy Ihp UtiorHliiflM wontil bo tu ■.-■>iitluital nrtivlty. uiiil lima |i)iy«i<>lo-^ii'Hl 
liiMlaaiii woiilil 1(0 Riini'il u|i snaiitii; all oonteiDiHl, 'llii' InboriilDrim tliMiiai'lini 
•■till Iw aBiliiwail wilb u |>«t)>«ttiiil InuifUir, llul nwr u|>|»ir4(iia BiJiy li« balll or 
rbNanLfiir iiv Ut>utut<iry of |ihy*iulo)cX *"' avw bo wUliiii niiy potwIliUilyutatiii- 
titig Itaolf. M'iney t^ «t<)MH'ially tifi-il«1 In imrriiaM' anliiiHla. ftit iiiniiaiiH ant 
■tialin, kill roiiillH obtalDoil fr»iii tlieiii Br« grviilly tii bo ilmiirml, aa they mora 
rljr a|t]Mn*iib lis iUKMiMiileniistiluliou. Aflci' ul), tJiejitayaioUigyuf mui Uwbut 
I nM4 Ift our practice aa pbyaiviaoa. 



IK I'llVeiOUKilCAl. BAKIS OP TIIERArEtTriC ACTION; AK EXPERI- 

UKNTA1. INtjUllIY. 

St TIIiIMAH 3. UAV.S. a U.. M D.. of riiltaiMplila. ra^ 

kit thla |ia|<*r na xlTiMrl will Im laacln tonxplniuMiuiK of tlMi hinilaiiiriilnl prlunlplm 
' MH>dlri<ial nrttiMi UII a pb}'«lol(>|Elea) baala. t tbiuk IVjim Ibo I'rnrrit ■tiiiidiinint 
phyali'al arlmic* wn liafi- KCat iomimi fur twlioviuit Uial rvrty t>liMii>iii«ii(>i> lu 
|lun> niay Uv vlewvil an ibu rffeet of futro, nuil Ibnt ll»«ira|H-iiiip apllou, iia a part 
: lb* itniiMt rfanln ut natural pbonofiinia. Iibvmiim liilelliKtblo only wlim il i« 



'|-bIU<ltl]>kuUt^ial'll 



" - .- ^ . .:« 

;'.-..'.■: ...Q 

:, -r . :> :. -. ■ .-.ni 

-.'■.:.-.■ -i- I'Mt 

t;:t i J.uuij : ai:>i liiv iiiaii. 

.^E 'J-UOMHil pU-tt of bluod. 



.\lr"|ilnp 



IJO. 



Till.' IP ivmililiH'! rtlcvln 




Thrit iitriilJliiiil ■■Rrvlh 




Tiii'ir oniiiMruvl Hlfi^iUi 



r^'--^-^. 



Lycoplu. 

iHw.ooo. 



I'ti'irotonn. 

i:«u 



Tliirlr 1^ 'irihliii^Ll viTiH^iH 




Vhv\r cittubiuai tttwlA 



iHvait rnini Mx to nirlii. i 



Clilfmiforni- 
1:100. 



Tlifir ■.■uiiibiunl ulTniU. 




Tlii-ir fi.riil(ln"'l ■•(Twli' 




TtHrlr mrnUniKl t>II«-(t> 




Tlm« curiilNiAiivI dTu-'b^ 



■XAWPLES OF ANTMOMSM. 

iBeatl (ruui IrFi lurUbi.i 



ijlii- liluol lul. 



AIl-uIhiI 1:'J.CKU. 




IIKKI 



i-i,nm. 




i:«». 



in.Kn. 




1:^1. 



l.I.UUI. 




EFFECTS OF WIMWUM, IMTEKMEOMTE. AND HaXIMUM DOSES OF AkDONOL 
I Kiul tn.>iii Ian to rijtht. I 



l-.UUMU. 



i:.i .; I ..L:tlttl.i J .'llttL-. 

ANTASONISM BETWEEN urnoMNE AMD CHI,OD0FOI*M. 
iKkhiI [rom Irft lo rtKht. J 





ll.nii 
TiucK VI.— 8tM>«liu((lw(4ixtaat hfilraceot (ul* 

trrten or minimum, intermeoiate, and maximum doses of sodium hvorate. 

titaad rnilii left M rlxhl-l 



TWtb X.-StxnrliMt llH-rffncuar bydnir of poUah. 








BlotkiHil. I >.<■■> t:iii 



CFFSCTS Of MINIMUM AND MAXIMUM D0M3 OF KTASaiUW ANO SOME 
iftrad triiin hit (ortirbt.i 



OF [TS SALTS. I 




Tmuk XS.-KliuwIutc tliD Fitccia of uarbcilk ould. 



Uliioiiaiil I It'll ixi hIJUO; 

Tsu,-c XXI - HhiiwioK tin- uAn-w nf wil|il>al> i-r ii[ni|ilD>. 



4 





liloM mjI ^ rui.ilil) I Lom 

"nuci XXV,— BbowlDK UmHIwU «r uuiiIiIuf. 



CFFICTB or MINIMUM AKO MAXIMUM OMU Of DiOITAUM. CAIIBOIIC ACID. ATROPINC. ANG 

ACONITINE. 



iRKMirniiiilrri TiirlKbi i 




F*!t-AMKRfCAII M£DtCAI. CONOKESB. 



1193 



TiuciMo or HO mull ■■yuiiiitk. 

TImm tnolnc* •Imw lU lUnt tfau •ililltlan of % miniuiiini done nf aodinni bj:itraT* 
lu Ills LIomI t'toittirM blK)i*T Ix'nrt Iwahi IhHn Atn givcu |>y tiluoil iilau«. iiti<) tliai a 
, lucxliimiii (l<«n arrrals ili« liMrt iu ij'iitole. Tti* u |ioti[ivenviJciife tliit •oiljiini 
full? wliHn a4iiiliiI(U'«-l III tiult-iblr ilodcs in cu|uil>l'' of imnliMif; tho rmicliua of 
ib'Mt iivrr nail bImvo ibv {Hiiui wbiub il ia uii|Mibl« of exc-rliii}; in lis orilliiary 
(l«l(i uf oaUiiion ; aoil tliat uu Ihe otiicr hntiil llio auno kgODt n-bon k'i'i-'» >t> l^f* 
■lo>raIiMtbnpii*iirofcaiuplct4.']}-iQhJ1'iliii); tin- baart'vai-tioii. Now, tlml wlikli ti.t* 
lidn limMi •liown to betmoof tbeftrtiouof «oiliuiiihj'ilrat« U alio trunof tbnlxJiAvlor 
at llir foUnwlDfanbatincM wbtab w«tn ui<ilnJeJ Ju tbi* rra^atrb, aad vrhlrb arv liora 
ICWbu lu a]|>biiliiTtlcalor(Ier: Atellcoeiil, ■conltinp, ftl^obol, ololn, oinniaiila, nlropliio, 
npiMMiri^lna, (■ruetuu, Amnioala, cklTolixi, cBDuabin tnniiaW, c«rlKillo orli), dilorlo 
ptiiar. cblorafiirm, chlor*! bj-ilral«, coralno, col«bl<>lnn, eoutum, Riirata, tlclpblitine, 
■)ielUUi>,eUiw. ntbylbromlJr. i;<!itiM>nilii«>.Kiiaranlti«, lij'dnMtiiio, kairiiie, UctieMit), 
l]-ra|iiii, BOT|ibilM,ci>iTvfcivoo!>l<>riil« uf tiietvurjr. plp^tiiliM, pfloc^ffitiB, poUsaittai 
Bnil lla aalla, (|ua>»in, iiciiiiiiie, rMKitclu, *iiii(;iiiuurii]V, ulioiu. MpuiiiD, spirit of 
Dllrooa nlbcr, Btn vbnitip, fitliiiiu »ud ita nults, tlivinu, Biul vuralriuo. 

Id UiUcoRimlioa it ii w-ntby of n»lu, m otie uf tb« nifta]r iiilen«llnt[ ]ilieiiomoii« 

• lilfb daveloped doniii; tbia iiivtali^^iiiioii, (but nhil« lar(i>doaM wauhl tavAtlubljr 

I attoat tli« hwin'* action, yet IbU MTort Wi» bronicbt oboat in Allbcr on« of tixi tw« 

wajiK. tiaub aci'iiti B« tlto acid*, tlto pnlawiiim lalta, a«aiiltlBn, ■trycbiilnn, oncnlu*, 

Bunn ibliKofunu, otbor, etc,, ani-ntfil It Iti iIImIuI*; irhllo tba •oilltiai anlta, 

UUMMlla, dl^llaltti, iiKirtiliiiip, (|iiliiiiii.-. c>lT<-ini<, ib<)k»i>, eW., armit«d It in ayslulo. 

Tliaaa et|<vriiuBntal riratilla );ive na Ibu avtiiram-u tliatall tbmedrufpthuvvat lca»t 

two kill >U (>feiri.-cC on auiiunllifH — fDiiiiuiiii»riiiluM«i tbejr eiiilt normal rilnl aclHiDt 

bimI (■ iKfttiuituii doaM th«]r ilciiroiB or afinibtlate tbe iiuue. Fuitlivr iui'«Btij;iili»it 

Id tk»HBi« diteoliOD titougbt uat tlio fact, loo, tbut miiiimain duxti are difeutii 

l^antMgaiiktii' In tbnir acliou lo iiiaxiimiiii iluMia. Voj i!iiitn|it(% a luasiiuuiD duw «l 

fans, wlildi waa found lo be one pait to Qve buutlrud part* of blooil. alnin^t 

Jy Inblbtla Ibo u<tioa of Ibo h«att, but wbuo a PiloimQta dtHW of atfo|ilnf, 

Icli «raa found U) tm ODD part to on« hanUrMl uml iiiitjrllioaHiiidjiartaof blood, I* 

■dd*d tu tills doao aiid ndmlnltttrod at tli« Hiuno tlnio ibo traelnsa siay b« aa bl^li, 

, or aivii liifclieT, uudet thU ouoibinud iiillii'iion Ibmi th«y on uniUr tba (nSnajirw of 

I niiiiluiiuo dowA of Ibia agout, or aud«r ibi^ lili-oil ll'-rir. TbU h wnlj ahtiwn Id tbe 

fiiliuwinit ttai'iug obtaiiiMl fiuoi cbtDrufotoi asil ulnipiiii'. Tlio fint jiart u( the 

tm^laiC {i> *** i-tuduviid bj atitipiuo in ii uiiniDioDi d"M>, lli« svuond |>ntc (t) bj 

iiblun>(uni< in uiiiiiniam do«M, wul tbu IbinI piirt \c) by Dumbiiiing a iniiilniiiiii diwo 

idalnitdui? lUid auiaxiniuiit doMof cbtuiufuriu. 'Hi* miiiiv is lriiaor«lilarofurii>diHl 

Miycbiiiiio. ol Hiropliie aod attycbnliu-, aiid of maiijr «tbc( agnuU as will bvaoou 

Iron lb* fullowinit tnduitH: 

TIhmi vxiwiiplrB iKil oiily fl*" u» oiporlmrDtal pTtmf iif tbc |<o*cr of intcrfcrciuyi 

[ nf (•<•- '^''i ' ■•Itli Ilia Ofltlou of anotbcr, l>iil tbny 'IniiMibilrato tbu HigC how a llM^ro- 

!»■•- iij l>* ablo to ovoKomo aud auMMiMfiilly lualat tba Bctlon of dlalnlo- 

IcraLi'i^ a. If wo look bniifvatb tbo ■iirfa''* uf llui«e pboiMiiioan w« (liid at work 

bunlwuriiti^w, wbieli, oabuiiii-pnipuHy luljiiittnl. bM<iiaivai>U)Eotil>llc tueacbulbpr 
ta tfcirlr uotloii oa (irj^iiio lUaiie, tbe uiie Uiodiiif; In eiibniir« or to oluvalc. and tlio 
bur indoprnaB Ibefunctloa of llif latlor. TbM« uiitauuiiinlir elToi'ta arviliHplafMl aa 
iitodiy by ■Imi; bitflrfcruncc as if Iber w" pnxlured iif tlio two uiaoliaiiical fufuna 
f^lliui atid reptilMiun, mid (bey s**" "^ *i "xai-'t and weamirablB d«iiKiiutmti»n 
■r«r wbicb diiijia rxt^n in ■u|iparliii){ aiid prrwrviiiK life whua altiiokeil by 
(•M. Now, tf wo nduiit lliat dl>iiaMi u but tti« mikiiif'Hiatiou of tbe aotii>n 
' luorMd foreao— fiircna wblob ntiiri> In a diTri'iion jairaiual to boaltb — and If wo 
aictM to aiilivlltnto tfaoM In plaoD of Ilis i>i>«iDtion of nusimiiiu druc dosea, •• givra 
In lb* abovfl lUnatratloiia, «• bava « clnar picture Iwfore tta am lo tbe nanoei in 
■Uob draga eoBbat d l aaoaa, rla, by btorfoivDO*. Now, in wbat doo* tlila prindpU 




111)4 



PAN'-AMRRICAN MKDK'Al. COXOKICSS. 



ariiilnrriTtiire mnjtiatt Wbal, lii otbor wordii, h (li<- Itirlimiie tinliii«af IboniMbat 
lii'l wni'ti ili'ii; ui'tloii mid ilio'iiM'! In •■xiilnliiiiiic Ilit« vm miiM, of oounrv liikn Into 
rciutlilKrittloii ll>i- fuol tlut lu • Uriinit iiIi^kI'iId^umI m-n'v all tli« ti'iliirv* of llifl 
■niiiinl lioily iin> (ii n kIaIp uf (-iMilliiiul ll■ol<l^^lllar iriuliim, wliidi la niiinilampd f>iiu- 
rijially l>]r !i)t4-riiiil chviniCHl rllMii^r*. iirnl lliat «i> loo); ;i« tli« iiiolrnilal' nuitMitt of 
r»ch lextutf liKniioiii/M Willi lliul uf «vFt) olhi^r, lieullb U tli<i ruult: but tliat iw 
■inu OS |ioniii'l>.-illi>n uitra uinuri); an; onu or a, iiuinbrr of (limu fumn iliaoa^v iniut 
folliKr. It In retulily ni^eii, tburufure, liuw mnleriiliir Dioliou may be inHinlHiooil 
mill pnbuiKPit ill tli« boil;- li.v tile inttoiliK-liou of •iil»tnTi>'irn. like iillmnimuiiii heiiI 
riiiwuiflri'iniK (iJo.l», wlikli wu kilow unilflr((o cbeiui'-al oliuuKe nml apply Ihr forrn 
Ibu* adUiiK t» iliin piiiiioie: but hoff forin— fuTi-oa of u inc«bniitRnl untiitB Hiiil 
wliMi itrr ulitilut>Ii>.'>tic 111 Iho lioilily furcr^—riill fii)iiiI>ii« imili-rulnr uctivitjr )■ IpM 
Plullt t'KU. for uii till- unrfHrr It iip|><-iiTii lu t]ioili;li luti'iv «( oilili > oUaractet wmllil 
iiiiliimllx Iriiiil to I'roiliii'f iliaiiilcunillDii iiiiilfrr nil rirriiiiKtiiniiin. 

Unl llmt ikj;jjirM\vn <>r niilnt:iiiil*lili.- foivpn bavii ttin iiowtM o( uii|:tii>-iiliii|; lirallhy 
nii>lvi-iiliir iiiolloii. iiiiilitr •-■■rtulu t^oiiiUi ion*, will n|.>i>i<iii pnti^ni Tium ll>i> fulliivriiig 
KbniTviitiniiH: ll', (ur Miiuiipk, i-i'iillu fci'liuii ur iiiniu.i|[i' U ■jipllfMl lo Ihit \<w\y (Le 
niiiln-tilnr activity iif tlic liitli-r !■ at oiicn iitotiwil lo ItH iilwiMt |iti] vioInf-ii'iU 
eH]MM'i(y. Wo liHVi- lirri' llii' :iiiliii;i>iii«ni tit two kinila n( foiivs^^tlio ror<« ul' (Hc- 
tlou i>tof Biniuiii'i.-. iiii-l lliuKc uf tli« lixntirx lu wLich ttu'w.' wcii> appiJMl — iihiviiik jn 
■llirntvnt dtmctioiix, bat which un- j-ovpnini liy (bo >iiiiiv rtiiiilanieiitnl fhynlral 
laws, tIi. inutinu Uk« pUcu iii tb<< liiiu of Iruit nsuntiMi'M), uiiil action lunl roiirlion 
iiTH alwaj'n Li|uul; or, in other woriU, uue furto act it)|; on nnullior aIva,vM mIU lurtli 
a <ii>trci>t><ii<HnK tpnrtion. Thru, irhcn two fmeca of equal ulrmjcth nioi't fwb otlief 
I'roiii oiipimltp lUrn'tiana ri-at i* proilin-nd. II1I* I* oxrmplKlTd in tlie prixliiillun of 
(ltirl>l>i-4i l>V two wntm a( tl)(ht. WtiMi, biiu'rvitr, two forcna of M>uirwl>Ht lili(S|iial 
■ireHKlb iiiiiii' ill riiiillict with fAi'h oIliiT, ibc Mtioiie^ will rauw Ihv wi^ukpr to 
lumu iu u ilir'M'tioM ]iai;iI|i>I I» lt« nuii nn<l to ■ |nikiil iilicrnn iiKitiial hnluiiro (altm 
plai'is BUil iiltlio<i|;h llir liitliir may ii-iiil to ii<lmTii><l iinil li> niwiiiiiu ii4 i'i>riiii-i poil- 
tinii. yd. thliHr);U Ih« upiTJiIioli oi' n hcHi'h of itiirh iiii)M>'li<>u*, it nJll tie flBallf 
fiiiiW Id •<<i>k II ui'o or nimlhrr slsto of p>|itilihiiiiiu iu n bich it will leaiaiii after 
the llllai'kiiiK r<ir(v hna (i-mii'il In itel. 

'Die niwlu* aj>r/<inrfi of thin in well illiiatraleil in th« fallowlnf; esnmpte: Wbou a 
l^eiiili- unl" litiiwn uvrr a whral Hul'l ll>u alnlkn of i;rain urn i^cat'ia!!) blonn Iota 
a KsiiiiiijC iiiiMiiioti uhk-'li in uiiiri' or !•»■ poiiiinii*iit; hut n itnuily niiil TOiitlnowii* 
wiiii) of cjoal fori''' a|i]>1iR<t nflirniiTiU ftmii an fippoxltn lUrri^linn will rnumi tbe 
•tallcB to bi<c«m)> >ittnlKht ii|{nlu— lo rmumo iiiiil t» n-inniii In i> iionnnl wiiillibriam 
aflvr the lnlt(4 fiiire has co>ii>pil to f>p<rrnti'. ThU tiut only IlliiKlratu* ibo intiainlo 
iiatnro wf Ihi- bciielioial ovlion of iiiii>>nni!« atiil of IVIrtion. Iiiit Ibnt uf niaiiy oilier 
niti'iit*! of which Htrjutiniua, iiuiiiliK', niropltio, nml itigitalin in Hnittiblo ilu«i!« ntu 
KimhI oxampW. im-l shows bow the unvrtH of tlimi' tburapcnliu meaniima, altbiKifib 
Uiavlnn! anlaitDnlnlK'nlly lo the bodily fori>i», bnoDiv pi'riiiaoi'Qt in their IbAiimi«i>, 
MorenTvr. If we vlnir oar thrnppatie aK<--utH in tlui Iiiiil of fon-w. we are not iMily 
Minbleil lu explulii tboir Rctloti in Taryin;; iIdhi-i niid Ibp Hiilngomiini of tticae, aa 
boa tiMS tloHH. hnt w« <aii alMt n«r«iinc fur lli^ fai^t that nmiij. If nut moat of ant 
In^dfoiuen, )in>fcr to act nn one tlntne fatbnr Ihiin «» aimtbor: or, in oihirr word*, we 
can Nky why «alhiirlii» act on tbr inii<iiilniil caoiil. •■in* lli» on lliodniiinch. tlij;ita)ift, 
tlropbnntbiia. and cnlTuiiie on tho 1i»nrt. •.-anlhuiiili-* aii<l vuimiUii on tli« urinary 
rtnuit, etc. for Ibr Inw of (ht- ''phjaiological divtitiuti of liibur" Rii-niiH tbst tli« 
lutrKTity of the body i>Biuiutiiiiiuil by many itiveraDfortm 01 fnnvlioiu within itaalf, 
•acbfore* or Ami^ciou bnvinit iu own juiriiculnTdnty to prirntim and if an aattw- 
onlntlo fnroo In Introdnted aiiinuK do luniiy different forcn. widely varjinx reanlla 
mutt tip ]inid<io<'il — aomo phyiilolo)[lc«l furroi liolnf dlitutlioil, nhllo ottitra nr* 
i lUl4iK<lli«f iiiilv*ii-bnl— thoM sbowiog thB ((roateat o]iiioMtl(iii or Biilaf;unl«m \>*\»g 
tlCMl alrrni.'-ly Inlliiriirivt. The ■•brU'itncTin of driniittlra girt at a riiilug DlaaUaiiuu 




CAM-AUKHICAN MEniCAL CnNGRESfi 



ll!).-) 



Two M»iiiil> Inivrfxra wtlh ruiih nllinr id |irnpiirli<iii lii Ibu dinjiiirliy wbirb 

■tinro Imiivtwh lliiini— u miialt illn'mniri' iMiiRini: a uliilil il4>i;(pp ii( iiitirfumirr. iiml 

||HuilUni«l(l<'ulI> iilixnitr lUitl on»a\ ninuil «avi>* will uliliilllluli' iiT tii>ntnitiie eiiotl 

[■illi^t. aiHl (niiM (wrfvi'l Micuc*. Ai^nln, )f the Iviie of K Hal i» ]irailiii>oil »iiii<il- 

■iMly u'ltb 111* rbitiil I.', K, mill U, the fiirnivr williniiy lu lei fun- nitli llivlune K, 

■■w it riKiaw ■ (livriiiiluul rrUliuii wilti lliis ttiuu, iuhI au BKnral)l« rclutloii wilb 

I MIti-r lux •uiiuilii. TIh> «»<> i: lUl llii>tvroie iiiiliiKuuifm Ui« niivi- E only, nitil 

hrsTi-dliaolburtwuwHvi-aiiiiili'tiiilxril, TIiIh |iniiri|>k i>r lU'IiKii nink<'att<ilr;ir. Ilii.-ii. 

^■b) ilttlrinil tWrjiM'iiiii-Milmtiiuocolioiiiil nDvct iliflviviit i>rgaii>;auil tl>i'>i>ii>ii|>itii- 

flplfl ■■trlr'l liinlii^r ttw ■'X|iliiiii< viiy wiim- ngriiU net uiily on ■•»■.■ )<»il. wliilti 

Hilu'n rti-t uiily I'll Hiioitivi |>art or ibi'iuiuo UBviifor'T^^itiiit! ;i|i|>iiriitiiii- Tlx* ii-noiia 

■ 1 nielli. tiK *X.tUI|>l". i* rolUlnlMHl uf til' BiaiU |C'''><-'>'>'I Hlll'tUluk-tll cll-KK-llIH llir<lll|f I]' 

lont aii>l )MVM->JH-k lliv roiuiiM'M riiiK'lioii of )[rUi-ru ttiii; mid tniiiumtliltij: liii|iiilhi*«; 
IJi-l luiilt'^ilin, ciMniiii-. uli.ii'hslui'. ciiniriii (■kl<H'iiii>lii«, ati<>|iltir, ki ■•■>'< iir. |;<>lH<-iil>iie, 
liiyilfiutlan, unil irrgoUiMi »II aSvrt tills nyoti'iii III illircrciil ivi;itiii<t iiikI in <lin'vi«iit 
|« ayx. 

Nitw, whilo (1 1« •nie (lint lli«rs U u i;<>UKral ititirfirmily uf Hiriivliiii- miil riiimtinii 

'*•( llir nnrvoiiH lyHti'Mi II ih alio lril« iliiil Ibcrv eiifU (tpHi'tal >t ittcliiiiil iiinl f<iuo- 

llnMil tlilfcmiMMi* ill llii* ui«cliaDi»iii viliii'li iiic bruiiglil ubuul tiy ■|«ciiil rtH|iilrtt- 

Miuil* auil rouilitiiMiH. Tbiin it Ih itiu fnoi-lion ur inulut ueivta to liNnoiiiil iiiniliiii, 

liMt II UaUii ItiL' nauiiUnii of iliU'rtuut I'srU uf iixiltir dltvc* tu IiiiubiiiiI illtlriv.ut 

lllrcrmv aiiit k I oil h of iiuilloii. 'I'bn jiii|tiilii<4 mfaicb iiri' ttnunratrti-tl by llir iinri'i-nor 

iKPUwa) nvBsBllan dlflVrrroiii llnwi- wliicb trnvcl iili>ii|; tli« iirnua uf •pi-i'liil ■- iimilUn. 

f 'tlia |iMiiiiui)a'>'lri<' iivr^u ■ii>>|illri> tbi< Iiiiikk. Iiraii, ■iBinarli, lli*nr, iiml itiiratliini. 

tnit It* varlnliln aUil rxli-IMlvi? illiililMiftoii U RTiilriirD iliat llin I iii|iii )•■<•> wliU-li iire 

I ntuirvi'nl by It* liTiinrliH iiiiint illllVr urvaily, fur tbn lTii|irilM-k wblrh liiivo lliti 

||Ki*or of ninliitiiliiln)[ Ibn filiK llim ••( tlin limrt arc nut Bilnp It'll !•• ibv iirvouM-ilii" uf 

I Ilia •iiMiui'b. ti»r arv lliiiw wblrli bit- ixKriitlal tu ilir tiiip|ii>rt of Ihr niniitli'ii al 

I tbn ItTar aaildt In iti" H iiilt* iif lliv lH4|>tni(<iry' HiiiMiatiii, or In tt><i»' of llir itili'R- 

liim, ■liiiviiiK buw, <)(■ Ibr wutv of l(ie p|-|lirS|ilu ■>( iiitcrfnuiirv, ii Ilium ]w<ilk fun's 

■iiBj uB^ri a iivrial biniirli nf a Durve unil toiive iill the iitlivr btuiirlii4 iiiinllwti-ii. 

Til* (<iii>1iiiiH-iiliil )ir<lit'i|il» uf Artig iirtiuu, lbctt-f<in'. ri-lii|vn Ibumw-lvMi hilu (l> 

■ •liDinluiit ulfrrl' of Hltiiill 'IiiH41 (IJ) (l«pli>-fi;iTil Hl'i-<'t* ul lur;;t- <1uhi» ; anil l!() eli-G- 

I |l>> Bflliiily. Ktuiii Ibis it fulluwH I bill nbnlv^rt tliu rlrrlivv iilHiiity uf a ilrug iitay 

[|h>. tbn iliinu Hblcb i" ■illiiiiiiBtrivil It 111 ileiiile uUi-IImt It t'iib'>iii.-i-K or ib'jitictucfl tbo 

llniivUi'ii vf ibtiuiKBn ub nbitJi It «<■!■. 1I<miv«. utIud w«coiiiu luc]iii»iry tlivacllfla 

|«r itfu]^, WH bave •tiiDuJBDts bd>1 <le|>n!WHiila of evMy liup'TliiuI urcBiilu lIu'lHMly, 

|lliiiB «■ bnve •tiiuuUiitit anit ilopmuanU uf tbu |[p|iptiil UPtvuun aytli-n niitl uf 

[•|w«IbI )iiut< of tbc wuiie, •■( lli« IieArt, lonicii, Ilv«t, iiili-atini'i. kiiliiey*. akin, i-le.. 

j «blrb tb'iBiiiintiuIwi tliat (W oM sruaplaic of tli* artioii of tttH|[a into atlMiittniiU. 

I iMDli'K. nari'uld-*, »x|>i>i'liirauta, ciiHitira, (latliarllm. rhutiiitDKiica, dlmvlim, fliB)>bir- 

Ivltca, vli'., la llt<- "(il.t ai'ti-nllllr iiml l>alilnil rbiMllliMlliiii. Tiiiir and »|Kirn I'urlilil 

li»-. biiKvvMi (iiitii i><>li>u liiiuthi' ■Ir'liilla vf tliiH |>ar( uf my »iib|vrt any hinltir, iinj 

■ rini havlutt mil tlir riHk uf wi-uryiuii you iiicli unin liilxlrtatlou I trn*l I luiiy 
liiilnlgi' III >bi> bjfr tliBt llil* fvrblu rlluit lii |>1>iiiiii|: tlii- atudy o( tliriu|>«itilii-it uii a 

I HriiiVT Biiil mora wlrittllk biiaiti Iban It bus llf |pl«(»tu oi-<M4|il«il may gi<l» uu iuipiiU* 

|lu tauiia iHitiiUjr tu IbU illruclMa. 



DlftffSftlON. 

Pi. MM'nIltim nlanrvnl lliat llxi bf*rl la lUvrlopiitfriiinlty tbc iiMnat urirBn Itt tb« 
[IhhI), bmi] Itwiu Ibn iwiiiil nl i'iv<r •■( •lrii>'lii><- uitnuf tlic uiMit bli-bl]r illtl'inviiUnloiL 
jl-hM Kuutil ■■X|Ma'l, llHirefuiv, UiBl iItuk* in If II bl niTsiit Uiis uricnii, (■> a mrlaln i-xli-nl, 
laiffi'ii'iilljf liuiu iIhi way llw<y woiiM utlkwt m niuie Bkuijiln uisuit, liko a i>iiii|<l« 



1196 



PAK-AMBRrCAK MEDICAL CONOBEgS. 



e*U or • outleotiDa of tlnpta mII*. Ttt niftha a f^ailnBipiital oUtwlScnUoa of dni^l 
acw«r<llrij( to tWr ftcllon, ua otr>d nivh ■« a alraple o«ll or fcr"Ui< of aiiofile nolla* 
■liimld form tlin baiU of nipotiiiKuiU. [>r- Mul'nlliiiii )iai)>«ipii In ih« baliituf urging ^ 
tlM UM nr<'llUt<'<) onlU for iJiU purpois ati<l tli* jii<Mll-llily tbal tkcy Mulil be 
•iDitiod la IhlR rMpncI by iiiwaauf V^iij-vltiuiiit'a^iliiiry irill, no doubt, wbcn aomv 
UlioliaBCtfd riimriui^iili-r ahonhl eailiNivor U> carry tba niw of tliat inatnuneat 
bOTond lliat to wlil«b KiiKvlnuinii sutiji>i-C<i1 it, luuiliff H tu aimv lliwr uml mors 
ilnlirula leaiilla tliao llie miicbiti« t;ivc«t u it ia now 4WD*li*urli;d. Ut. MaCaltain 
rvforrvd tu tbe vxcHllvuoeor Ui<o giapbio trauinj^ wbiufa l>r. llaya ubliilii«il toitlp- , 
pMt Uicooniciitiouiiof bin paper aud expituoed tlieptoMar* with whiob bo ll*t«upil| 
to Dr. Majrs's pupur. 

l>r. Maya, orPblladdphia, Midhahnd notbloK to add OK^pl la wartiily tliank tbfl-l 
mi'inbRrii of tbe aiTCtiou for tile kind mnniirT in wblch limy n^wivtil wliat ha aaid, 
Hn wonid tmy, bonoTor, th.it bo bnltovaal that tbn<'iiprrlBi«nl<t ot Kti);teuuuin, at leaat , 
In part, coaAnn Uia nxalt whiob be liail obtaluod fioiu lli« bcsit. 



SOME OBSKHVATIOXS ON NnRMAl. OKOWTH AND DEVKLOPUEST OPl 
TUE liUlUK BUDy L'NWEK SYSTEIIATIZED EXERCISE. 



By ll£N'Kr G. HIEKKIt. U. U.. SurKtaa. O. S. Stvj. 

^■no of our Ii«st naluraliala iufurin iis tlial the Unit livlai; tfaiu)^ on tbja itloli 
iliiut hare becu ~iiii('io«co|>io. ninuocrlliil^r organ isniB, hibiibiliii); ibf surface of tba] 
m'fuut oi'ooiiB aoil Iisuliii)* a frvoswiLDiiiiii)- uxisteD(«, liko the piuluioa, Ibuir ilittrtj 
dmeandniita, of tba jimiciil duy. Moat ull of tbeni, futtliuimure, asmo. 1 tliluk, 
that UifiTU onid bate been no deputtiue whatever fiMu tliia innnuceilDlBilun of' 
eniitoBCo — no OKi^Kattoii of («IIh In build tip niofftt oonpltoatod orit&iUaniS ooiihl 
haru takut) plai-o until xiiiin iif tbchoprDioioalirgaataaiauiiiR BaoMlIe foru of aiiitt- 
ciice at itio butlom of tbo oi'ciin. nbemby iiutritiieiit caiuo to ihcm la tbe viirreiit | 
llaniiif; by thviu. Iii»tfad of their bnviaic to overlaktiiij-ly hunt for it, anil tliual 
axpeodiiiK "D tli«4r nvalUblti rnerity in thladircclton oulj. Tbo lav of |[r«wtlt audi 
davelopniptit, la otliar vrord*. depend:) on altrrnatu rsat aud activity, atid it una «fl 
tbo oldcsl and uivat nitidainr iiliJ lu !(• relation Ut lif« in K«^ieial. Wbure aud bow. . 
•var we maj atady llfo. wlu'lbor It Udntlii)! Ibe etnlirj otiiv «-utidilJoii«uf tliebif-ber J 
orRaDiana, or io llie imIiiIi cooditiinia of bolb bigb .lud low furaia of lile. nv rei<ag< j 
iilraoTor}'<*bi.-ra tba«xiiiivuveur rvMiii); itaj-ea aliematiBg wiib Bia^iw of aotjvi^. 
Tfaaa, Id tbo bixber animaU, we iliid ib« (orpusuloa of blood and lyuipb ever a«ti«aJ 
and In oonitont inoiion tutvro«DupioiilIy buhII. Aocordinji to llio Una of growth 
tlwy Biuat racualu ao, hnt at tile bottom of tbia aoa of hlno<l and lymph wa ItBd a 
aanlior of MMaila orKenii, nc^i^KutioDi of cetU halonsinK to the aacnn orKanlam. anil 
■ladf poaaihia onljr undi'C tbn uniiiii law of allrm.iio mtc :kiid uctlrlty. 

Furlbur rvllvi'tlon aad Dbai-ivailoii baveahown Ibli i;rcikt and fandamoBtal Dntiiroll 
law to lie at Ibn bult-nu not only of tlii' vvnlntloii of all living foriiia at prrMinsI 
ozisllnit, but weoaii obw-rii' it Hiid slndy il« IiiUuhbro In avarjr Individual livlngl 
balii|[. It la eoiiaui(uiii)tly clciit, Ibuu, that f^rowlh and dovalopMOBI of tbe huinau i 
iMxly iiiuat be aiibj«ct to tba unio nnerrin)- lawn, and in vnler llial they vhull useit 
their noat favorable inBueure on the fufinntioD of tliat body, tbey muBt be duljr 
olwervod and properly adminUteml. ExcrvJw, altMnatuii; with Tut, tbou, are tba 
two Bioal Imporliuit fuctota vilb wbich acieDtific pbjaical irniiiing will have to 
■Ipnl fur tbo piupoao of prodnciuK tbe bi|{lHiat rMolta. Speuikinic pliyiiiutoi;U-ally, 
iJlera U no ililtiirriioe b<twoaa tbo labor porfornml by tbe workman and that p^r-H 
fonnod by the Kyiuuaal. Botii tbo nood-«lioppor and the football player do inuanularS 
work. But tbaoou b««hUex*r«l*« at bUo«ahounaiidfollowi tbelawa of byxii^KBi 
dlot, and real, whlla tba elbar doaa out do ao, nor can bo do •», and wo oui aaail/ 




rAlT-AXERICAK MEDICAL. CONOBEM. 



1197 



■*>lpnt«ii4 wttf nvfciao sU^DfjtliMia lh» one aii<I w«in out tlis other. Neither 
■loM tt niBke »n; diffefvnfle to lh« nralravti'iit niiiKte irh«th«T it i* nMde to aon- 
tnwt *r<vifiliDir to the Swediih «;ileai, or tho ncrman ■f*t«ni. or even Iho Amcri- 
F&n nyuttun; •« Io«k >■ it U Miued to contract tbnroughljr and eii«r)ii)tle*li]r And te 
allovfld to rott »ncr <»niilr»etioti, it will darelop sutA grow in r|>ltn of anj' ayatmi. 

Far ■ oamlHir of jkoth past a tyNtAiii of Mitlir«potDnCrie tiw-wiiiininnnta bM li*«a 

lalrwinced into wnMiof out bait ■chnolii and oollcgM for Ihn nvowful piirjiuMof 

watfjilnf!, vlth mm aeraraey *n<l tx^i^ntiile •ia<'tnoM than hir*t<ifnr«, the ]>r»- 

MMHB of f^inli aail ileretopment of ili* rMag geiMr»tloii of Aiii«r)can* aa tliejr 

BMMb lhrun)|;h the oall«|;0 iCTioo**'* <■' tl>«<*'' rMpecU'S instilalioiia. Ttia hi;^-linit 

ereiUt ao'l prjiae ifa dii« to tliv I'ivixwra in lliU Inborlttiia amlvrliikiii^. The large 

■ntnbor of lineJy «qaipp«<1 g^-mnA^ia Ibut have sprung up pveij whnre 1ik« tiiu|;ie 

tiiiat t>(> Inokcd npon na tbc dirmt rnulla of their iii-hI excellent niiuionnrf work 

InUicrAQiwof iihTKicnledarnlion. Bnt altliough lirnwtlianildeTelopmnDtuepiJtnii- 

fiir |iln alilojili'vl ■iibjiteU, and tlivtefore ahould Kioatlj ititvrfst pbyaiologinta, -rorjr 

lltti* liili-iMt hu, an tu at leaat, hium from that •llrRrtlon. Uoataf tlie papcratliat 

Uare ap]*«ar«d, 9*ar aiiMM Ui* tlwa nf tfaa I nt rod net Ion of tboM nwaaummobta, «t« 

amat doolitodljr of mor* anUoBiIoa] and aothrapoinntrlnBl Intortat than of ph]rt)ola>)>> 

Ual (aliu, luxl. ao f!ir at ]«««l, anlhropiniwlr; baa Lnno nia'la an «nd railier than a 

.mranit. Ilowtirar.aluoe w* haToatliul auecMKl^HlindURovrrinxnot oul; lliappifpot 

Ityplral niiil lilral man. but the woman alio, and tiav« lioil f lieni both la/tily UikIimI al 

IChi«af;o, wlt«r« tli« two artf now aniiiiixHid tu dw«ll in uuiHoii, (f not mutual adiiilra- 

1 Unnnfone anotbir, there iaaoine bojie that tlia tHwIera in jibiiaii^al ednraliim may 

I turn ikrlr laleuta tolbBmiudi iie|{l«i-ted phfAiulo^ieal aide af this qiwttiou. Itiilued. 

< br|lu»lnK baa alr«ad]r liMa made und 1 hava in Biy poMUMion three pfljieta i>f tbe 

tt pli.vaioloKieal importanee as r«t;arda phynii'Hl education. Tba lirnt of Ibirte 

U "Tba Growth of Cbililrtai. Stnilied by RiillWa Method of I'erteulilo 

[liy II. I'. Dowdlt^li; til' HiTond ii MiliiW "'Die pbyaieal baaia of pre- 

I dulluMB," hj W. T, rv>rli'r. und the Ihiid ia "Obierrationa oo tbe reaulra 

' lh« pe<lrti;i>jEi>'ul It; raunatk-a of ihf> l.nlit a^vat^m," hj Cln/a J. Knebnika. 

Tbe nlijfrt I liul In v Uw iu prvpariiiK IbU pnp'i I* paitlr for tbn purpose of Invlt- 

nt; nxiH' Inli-rnal In tlit* itnbjnot on tho pail of physknlociiiU, and partly alio to add 

H<m* obvrvntlona of my own, nixleon ftOnaral oadeM.iM aacorlalnedby twoaaecM- 

«<i niraaarvinenta dimIo al ceitalu intrrval*, namely : The Drat iseaanr«nienta wrre 

akrn In Hepletiiber, 18I>3, and tlw'iti-cundin April. 1693, tbe time iuterral between tbe 

■u BieaaiirnnenlB being, thereiorv, about aix mootba. Froim the wbole number of 

■nMurnioenlB that are uaaally taken ofeaeb individnni otHy a few were anleetcd fnr 

aald4initl<iB b^re, alan to diacnai thnm all wonid ralh«r ilntia^t trma tbe few mora 

ii|MrLHiit tMa» arleeted for our parpanf, and would add notlitoK to tlia phyaiological 

I taliu) nf the ranlta thai may l>e derivd from Uietn all. Tbeaa lt«iaa are; (I) The 

I kelkbl, '3> lbs weif^t, (3) Ibe lanf- enp^trity, and (4) tbe total atrticlb. We wil) 

klae take into cunKideitilioQ the vilul iiiileE. tbe power index, tbe atre»);(ti-wei);ht 

indMi, and the tttal-atreuKth-weigbt index, whieh form very important indicea,iotro- 

diMwl by KnelKiaka. and all dedncible ftom Ibe Unit foar llemi. Aa regard* tbe 

hatnre nf tba gymnaMia excrcjsea wbkb the cadeti took during Uie interval of lliaaa 

■BnaaartOHnila, I ooiild notiay tbat any one partioular ayatAisef syinnuatice nna fnl- 

|Jnwnl nnt to (be oTcliiiInn of •Ter;' ntbrr ayatom. From tbe point of view of the 

kh^lnloKbt Ibnm caii lie but one ayali'in, inuuTily, Ibat nf common oenan atid Judj;- 

|li bavlBg for it* aoU ptiipiian tbe gradual, pro^crawtva, bamoniooa, and »xia- 

teal davelopUMTUt of lh« ludivldnsl acMrdlnf; to bla seeita and aooardlu)[ le 

pb}*lnlui,'l<^l lava, and in Uiia prorvea tba inttrumrnta lued are lh« aabordlnale 

,0*aii* to tlieaad. noniattertowlut pivrllcularayatoiB of gj-mfMatlcatbaf nay belong. 

A brtaf outline, bowevar, of tbeae eierciana BMnia ealled for. Tbaa, during tlio 

Irat niMUtb catiallienita ur fret- niOTeui«nIa were daily employed, and breatbloit exer- 

wo* practitwl on tbe diaVrvnt ubeat wejgbta. I>uring the aeenud month 




1198 



FAN'-AMKKIt-AK MBIItCAL COSORESS. 



Aomh-Mln. Indinii uliiU. anil boxing wi-tt* iiitnii1ii«*«l. PuriB^ thf Uilnl iiw-ntli riin- 
iiIdk, jiiinpiiiif. aiiit Tknlthij; ncre livguo, Lhiriti); the fdiirlti nitinlli r»|<* rliniliinjc, 
nippjiiiuiiiiiic. Iinmoiilnl niid putiilM Imr exoriiiM.'ii wmp donr. Afif-r (Iml (lis mit- 
<if-il<ii>Ti![llla imitaix. unil ikni'Hili'U'mly I'xiiroUi'tl In tlicgj-initiuiiiiiii iiimiiij wvallirt, 
iiuoic<ul»n<li>iiii;k|>ni'UI(iKi-rcui>ii|>ri!i>crlWiirtir iJivm in Nircorilaii«< willi ili«irii|i«rlitl 
DWil" mill n^iiiiltoiiiHiilH. Till* in. In bHuf, tlin nuunv tliiit uii* iniraiiml. All huA 
iilAiniry tltlll. but iinni' liml any rpiirliix. wlilcli ih licitmi iilln iIik rtnl yrar of lliirir 
aUj' St tlie AcnilMiiy. Tlif tlmv <l»r(it«'t to g,VIllns^li<> mrivliKn wiu iiiio liuur |H>r 
iIb}', BKiN-fit W«HhK»»1»y. iMnkiMic itvi- t]oiin> jicr wt«k III all. tli« rnHMlttitnc of Ihn 
liiiu', of cu<ir*e. buiiij; ilevotod tn Tiientiit w-irk. with (lio tmiial iiit>^r>nt«HiiHiH tar 
reeivniioii rommuK to iiU hi^IiouIh. Tllf ''ailelti ure niao liiii;:bl ilHiirini* iliiriiiK tli« 
ninli r. nml tli»wr«kly Siiiuriluy uif;lit Da<tul liupBcnui.tiiiti-<Iirr«>K'ii>iil tlieat-iiilvmln 
ymr, imt all tbi.' cin<li>t«. Iiunordr. tiikiuK |iiirl. 11 U purlupi Iml laii to auio Ihal 
tlic I'ltnriKiv thnt otu rui:otilc(l ill tbc fulloivifix' ta)>l«iu hiiviiiK tiik'ii pltwti In llw 
raitflH nm uol iitiO iiiiii ii'it lie lni>kr>il iipnii ii« ■liirllj' roiiipantivn. ii<>r »■ iIiir !■> IIhi 
ICjnin.i'tir ittnroianii nloiir, for lu ordtir to niukn tlioni nldi-tl^T oo'titiNTiiUvn ll wnatit 
rcijntri' tli4> miiiird* n( r>0 olliir crwlrbi of tlii< i>iinir> aur iili<l llvinjt utnlnr tlii> •aiun 
itniilttliniH lt):i( liflr) iioT tnkiii tlil> ii\niTi>ci. nn<l, lii>»liliv. timv hitp otiipr rxcrciiHi* 
l;iki'ii iriilAiiUi l.lio EyiiiiiHHliiiii iiikI Iii'IiiiikIiii! Ui Ilit> AvailMiiy ciirrlriiliiiii mil otiirtly 
lo )«■ clamilliHl us ]j:,viiiiiRSJllm i-irtiiMw, Wo «ill li«){lii. tliMi, (tr>l wilh the ■■■•iidhI- 
(rmliiin <if tlifiir liriglit aud we wliut (ilmnfCM no run <li>liiO( in Ihal. iil»ii wlint |io>> 
atlile Btaiidniil wr umy duivc ftutii ii lutuec iitiuitx'r of ci1iili<C« tlint b.nl piitrml |<ro- 
TioiuiI;F '" l'*''^' Th" ref^inU of tbia Depurtiiu'iit plan? at iiijr iliipovil, aii fur, (wa 
hundred ami thirty I'Dtniv «f endeta nbute heif;lit wua ncMinitiily iii»>iin-il itii4 
rBi'ordnl npmi tlii^tr L-niry into th« Nnrnl Aiiadam)r. Inauiinrb mi Iheri- niUta no 
*taiidiint for tiluiiiiiliiii tn tli<i Acnili'iiiy ua rv^rda liei;;lit Tit ii ■utiniii nor, viicciil 
(liiit tli«' rniiilidnin, [nuiiiillnu qf hi* iigo, aliull out niriuafv tnu thau '■ li^l iw I.IISI 
mm., llint W Miall In- ■i>un<l hdiI not Imn Itian 11> jeart at une, II nmnwil |>ri>iBi*li>i; 
iirmiiiia iTitvrcBt lu lliid oiU Jtim. hiiw tti« iivprH|.''bp<){bt(ir tbi! kiiIitIiix naval nidot 
lindi-l' tliiH plan <^ompiiin>l with tlmt of iiltinr ai'hoola and (mIIviim fhaln wliioli ilala 
for «>iii]>'iri>'Oii niH Ht IibikI. laUliig, at riMinie. tlia n^* Intn ci>uakd«r»ticn in making 
I Ilia <oiiii>i»i>ioi>. 
Tlic ■•■lloiriiii; taMe HhuWH the dUttlbnllun of tli« ivo buiuln.>d aad Lhirtjr cadaUy 
gnid* boi|;bt, in milliiiitflem. 

TAnt.K 1. 



I 



XiimliFrar 
Ulll'inrtrn. obariva. UlUlmrtMi. 
1 llaiw. 


X»inl>fr or 

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The nrxl lnbl«i>hawa their 1itiit;1ita, nrrsnirtd In p«-ri-*>ntllit)tr>ilm varylnc fViiiiiIilaf 
tft pef rriil. »a tliey CMii|uim with ilioa* of tlip Aiiilimt atiidfiil* «caJ 17 .vvara, ; 
llinMc of th» BiMton •rlinolliiiy-i aund lil, IT, and IN tHtrt, twpevtlroljr. 'IlMaTc 
iii;ii of the tnu hnnilmd ikiid Ihlrlj' cml«l(i it IS juiiia. 



FAN-AUKUKAN UI.'iPlCAL [.'UMiKESS. 



1199 



Tarlk 2. 

rUUII>Nrt«*.1 



IVmiillr gni: 



I N ' 

A"r. Uf..r 

■Er I <*- 



n 



Ift 



sa 






ii«l,nri.(ii[i.>e«i »}i.(nRi«rii 
axnl.«»l,MT|i.a;ti 'm -mi 7.-<: 
Ui.wii.oiit.itU) < < 
iwi.ant.WM.tMi < I 
sni,siiLH^i.mi.v>i.i(.i)|i,n^n 







I 



TliU UtiU miKttil •linw thai llii> Iifiistil of i1i(i ci:iviil cftilat i* eiMinlitiralilr Wliiw 

U lyf iLn Aiiilixixl ■ti«liTlil, UH Ul^]| »■ tbHt of tli« HohToD srlKmllxiy, at th<» hhiiip 

i*(u;:v OS", auil <il ilir liiiir iir lil>i viilrimrF iiidi tli« Nnvul Aciirli<iiij. Tbo licurp* 

> llir AmiIhttbI nliiilriili Rure t?pntr<l m (lurt rmin Tnlilcn & niiil 7 of th« Aiilliro- 

[■■■■■triii UI'Im piiUli»li«>'l by rrofi-Hi^r lliteticork hi IJ'W; tlie nRP "im tskcn Ihmi 

■Itla S niiJ llir jMrt'viititn ;-ni'lc* tiova 'I'hIiIi.' T. Tbu 6)[<itvH of Uio llnaton hi'IiiiuI- 

ijta were olttuiD(>il from I'ruf. II. r. U»wilUrli'> wmk on "Tlie llronili of <'tit]ilr«ii, 
todlail Ljr linlluti'ci Mrtlxxl of rcTrnntile Urnitcs,*' piit>ll*lw«l in IHS)!. 

Tlita i-uii>|>arJBDi>, liuwi'Vwr, i» pfiliap* tml |iprfactl,v fuir, aiin-ii llii' iihove tKoaliiiiil- 
:■ wrtf uiriiiiltad fkimi |>iii1 u( our |ii>|miI:iUi)ii nuiiHl fur Ui^ir hciclit. witile Ilia 
,>twWtii cuBii- from nil luirla of thn ronLitr^k; ijlty urn. Iioirnvor, llio i)tily on<4 no far 
l<u\iU>linl. mill ionf>|i>rtit1j( thi'i* u-ii;. no I'liolcj' III Ihi' iiiatu-( «f xc-lt-i'iiuti. Thi' 
lii'islil "t Itia ■trraiii' YkIit 4iiiilriii, .-UTOriliii): lo i'Ciivvi'ti toliliw, iii lliu nge nf t)4 
>aun. Ii ul\<>u al I.Mil (iiiii,, ao>l iti >ri'i>riinTii-» niUi (liig ibi^ ar«r»j;(< tinviil ■•iiU-l 
wuaht I'uiiMioiii fmin It tii I'l imn., or nbunl tlitui.--)iflliii of i>ii iucli tallrrllmullin Viilc> 
Miiilmi uf ili» ■aiiiriiEr. I^Iiiih' Val« Collr^i-* i" i> larfC^r ifliool tliun Anib'nt, mill 
ptllm II ilrilvm lu HliiiJi'iidi fnmi ii larfjcr leMitory iLiiu iLi' liiltrr. Ilic i)T»iii|;ci 
lirlctil tif thn V;il« tliKlirtil in luwrr. |iiutialily oil lliis ■ci'oiiiil. aail apj>ioiirlin> inurv 
U'srly llx' iialiiioiil iiti'Mf^r ntauiluril. Ao pi)<n]MirciI uiih tlio Ronton irlioollioya 
the iiatnl cnili't of Iii jrarn of ait' •■|>)>i'<ii>rli(a nioTv iimity thi> IG-yi-ur-olil hny hi 
li>l|;tit Ihiiii tlid 17 j'iMir-olO u«e. Tli«SO ppfciMitil«Brnili.' of tbo IiWclit oalealatvd 
(rMD tli« Iwii liuuilml mill tliirlr <*il*itii, nt lui avftiik" nc* of 1H jrntr, la I.STS 
JMB,, Mill the aainn i;tiui« of Ilio IIohIou ncfaoolbovn, at an n>ofii|*i< kick of II yean, i* 
l.Sn DiBi., or i>n«nillliii»rlrr IcMalbali tbnt; wbllo tli» owTagv ht-ljflit of llii> cntlHa 
U I.HTV mm., anil tlmt of tlto K-li<ii.Jt>o.v« h MHlTi, or 1 1 iiiiu. liwa. Tli* IH-;fur-ot(l 
liaMton ••'bonllNiy, iiip:i4DthiK l,i!Ur> luin. Ill lidlslii, U tlioraror* 111 ni«i. in advanre 
of Ilia avriauo tirlebtof lh» uaviil rntlet, ai;il lhi> iiarat oadel i« ftbuut 15 mu. laltor 
tlian (be Valo aluitent oftli* hiiiiio ng«. 

Ilpiplita will iicolinlilt alway* fom <inv iif lli« iiiiMt hiiportiint >nilir>ni in oitr nil- 
cnUlinii mill ji)'l;;>ii*'iit «( tlip jili.vulni) )iOi«iil>iUlii-> <>( thi; iniiii. Iioni: Imiim-* niiliir- 
■lly ini)ilii Ihr vxHtvnvi- of I'lUK lililwli-a lo inoTi- llinii. anil Ihrtv wpniii 111 W iiior* 
nxKii III u titlcr flaniu bIhi lor llin rilrnitiffra-iillnl icnrn'tli nf tl»' tiiilHrlii* lliali Ibtr^ 
ti iilHiiit B ■mall. (viiilMirli'tl frsiiHininh. A i-a|Kii'i'iiii> ilioiui, fiirlhoniiorp. willcoii- 
iiiiii a luisi'i luiii;. impliiiiit u i;T«st«r hiiie I'niiiii'U)* ihiiti o Miiallcr una. 

In tlip ailjotiiliii: tH'ii lil1i|>-9> of lli« liplichlii lit IIm) llfly cuilul*. iimlcr iiiorr Hpi-riu) 
s>'nttil<'ruti>tii linin, it will t>i> notirpit ihni oiirh one ol tli« two lulitus tc|ir<wnlii Uia 
iHKiMntriiH-iii* of twvtil.V'llvc. t>hir« IbU ilivlvion of tli«iii ia itnl mei«l> acciilniital, 
Liii |iiir|<o*lca, mill wlllu|i|i«artliT>Mi];liniit IliU ]ia|wr, ll i» iiccMaary at llii' iH)lai>l Iw 
aljit* huH and u|t<i« wliat ciioiiTid tliimlivialoii waa lu■dl^ TUtt priociplu in a^^nrd- 
Mipa witti wIiIpIi iIi« total iniiiihiir of riitlola waa iHthlnl U tbn luiioiiiil of Inrmup 
-fa loTat ilmylJi ttial look pUi'n hi all l>rlwpi>(i iIi* flral aiwl anoniid iiioaAiirrniriiU. 
Tahl* A mntaln* nil lliiia* whiian Inrraoo- <u tiilal almiKlti waa 1(0 kilo* or Inaa, 
Tabia Ili-ouliilliit 4lt tbo"r u b-wc liwrwtw In I>iln1 <ilt>'ii;:lh mag abuvi; ICW kilott. 



1200 



PAN-AMettlOAH Mr.I>ICAL CONtittBSS. 



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I,7U 




M T 


Ln« 


l.tM 




M I 


I.1M 


).TB1 





» 

I( 

IT 

II 

» 

» 

n 

a 

s 

M 

» 

At«ncM. 



1* • 

la 7 

IB a 

» • 

IB B 

It ■ 

I* II 

li « 

IB a 

la 4 

IB 7 



» • 



I, MB 

i.s;* 
i.n* 

1,T» 
1.714 

i.gn 
t,:u« 

).7<M 
t.TM 
l.ltH 
I.MS 



I.7II 



I.M 


« 


1.«M 


(a 


1.710 


n 


1.770 


u 


1,7» 


1 


I.BIO 


K 


1,7K 


It 


i.;n 


1 

I 


1.7U 


l.BBt 


ID 


UBBI 


1 



un* 



On rutniiarin;; tb«lwoUb1r> w«nill find that t)i«ir viirio<iiB«et«avenig« nfinWnl 
tb« RBin«, luiBiuIjr, 18 jr*n We flud. flliHi, Itiiil tlicir incrraBe In l<«i)!lil in l< 
DMrly tbo Kiuie on tli« nvetnirp. but tlio kT<<r*i{B li«if;lit of Uidof oh Tat-Ia A !■ 13 
mm. Mow IbBt of Table B. Xow. Ihi> i|ii(i>tiori mlRlit veil lie n«ki-il, Ik it a hit 
Wiinci^nc^. or U ll of ■««atainai){iilnoDcc tkitt Ihn nutnibcrnorTuble II, nlxi w* 
•lli;litlr Ullor in ll;e li«;,-itini»i[ llixti tli<> eanaihet* ivprtutrptnl oil Tnble A, liail IMlj 
tuUit nlmiutb IncriiBBril Ml miirh mom tliaii tb*i iii«iiiLoni af Table A, all uf llivii 
llvlnji ■in<tor tbnaama idmltcal ci>nilill«iM(T TliU (|U*Bttoii ulll lio >ii'>ti> fiillf 4Ii 
ciMMii III ci>nii«c>tlon «JOi Ui* t.-ibk'<« ort(>I:ii nlrviijKlb l» bu )>r>i>«iil«il lalT on. 11 
•veraic* tiniabt. then, o( tbo 60 anilrld. at Ibo bt>t;i"i><nR> ■»■! »* aBMrlsliieil b|' III 
llntt iiw>a)<iii<'ini>nt, ia 1,731 mm., ami (on-nril Ibn rlo«i- of rlie Bis nuintlia, aa avi-rJ 
taliK-il by Ui« Mieiiiiil ni^axiireniMit, it U UmuA to be I.TSd mm., ahowid)} an iiirtnii* 
ill til* avunjEH lirighe of 8 mm., or ahoiil nnx-tblrd of nn inrfa, At p ru a m ^ 
than exiiita tio Blaiiilanl of rom]>iiTlsDii of lli« aiitiiiaJ or wmiannnal fnwvll 
<if l>afa at all ami-*. An .ippniximatioii to mcb a Mnndniil of ll«^ i 

In livighl aud vci);ht for tbo impiU of Ibn Ikoton puMk arbool* hna Ihwh 
ill (li« above-meotiont^d work of H. P. Ilnirilllcb for n pniiitil uf frMfii r> f> 1> ynt 
Uiit iiiMniiieli aa Bowillirh bim bIiovtii tbat tbis tiirrr3>« is Irrccntat ntnl (^a| 
amallfT ihc UNircr lb<' intllrldnat npproui'liw lo itH ilcHlim-il iiia^imiiiu arMi, in onlii 
tP fiiiil]^ (omparo tb« Kronrtb ofoorradt-lt »'■< uuglit lo baie a slaoilniil Kli'tog tlit 
llirrBnBB la bciffbt aboro Ibeauouf IH yMfa, tliU livini; llis nvmica aij>i< witli wbirt 
wnatarttHl. On looking aror Uia tabid* iif Ynl« ■holi^ma piiblUbe-l by ItouTer, 1 Oii4 
lliat Ui« bcigbt Klrnn fur Btudvnta ngnl 18 funn and B nMiolbH, wlik-b pcttod vmU4 
oakutly oorreapoiMl U> lfa« a.rene* ngrm «f our oadeia at ili« ttino of tb« mm«i4 
■inaaimtneiit, la 1,681 miu.of 2S turn., al.ove (lie lieigbl git en un tlio 



PAN-AMEUICAS MElPlCAL CONGRESS. 



1201 



t 



for l)i'VMr-«l(1 ona*. anil whicli u 1,661 nuu. A(«or>liug In Uicm) UblM, lli«ii, tfa» 
wail aiiniinl iticnsn'n iii lieiglii IViim Ifl to IH4 ye«rii wnulil lie 23 nun., or iiimkI; t 
llvli, tar Vlilr itlliiUliU. 

I to •Xkiiiininjc ilin luliln nf nif* of tin* artKlitiiiji nt AmlinrvC ('i>I1p)[p, pubUtlied hf 
llilrlimeL, I »>■•) tlial ()in lioiKltl givta fvt «tiiil»iilii uf IH ytiaiit tuid IS JTMUS ur itpf 
!■ dkArrl.r tbo HiiniB, umirly, l.'Xi mm., uiiiMrriitly Itiillrnliiit; \m giiiutli iit hII 
Jiiniii^ tlia iMitind brtwvi-ii IB itiid lit jt-att. Ttinn it iiiiial W iHlmitli-it, iinlil trti 
avcBiriml nt nn ■■xairl ntniwlanl of gmwlli fruio jri-nr lu ><-iir Tm hU bk"* <■)* '" *'>" 
IwMitj'MwviHl frar xf UK11, it U tiBpiKuilil" t« alalf wliflbrr Ibn iivi-rH|;i- lucrvaxnor 

R null, iiwi'rlniiml fur •■■■r ruilnta i* nlxivo <ir (htIhw IImi n Hit MiuC It iihixilil bo. 

UiltlB. liowi'vrT. •H'TiiH III li|i rIpHTli' ivIiiUllKlii-'l Uy out UIiIi-a of <i(nii)iiiirKoit 
>. Ul'l llial U lltla : Tllr iiYKr4|[i' llfliulil I'f tlii' tit} <-iiilii(i> llml nili-inl t.lii> Aniil- 
i> ill llir full i>r IH!K.' Im-iiij; t.Xfl Ririi,, it i> 4'.' mm , tir I { 'if iiii iri<-li, liiuliiT ilinii 
lb< nvriKK'' lirlgtil ni' tliv 'ifO i-.tilotH nliii bml fiilorivl iliniag llir Inat rmii ji'tin. uiiil 
« lili U in 1.1179 mm., n* inity liu wni ixi T'llilo X<>. 2, 

AiiiiiihI tttuwili IaIiIm. ■» he al Tiiliir< im »lAiiil»nlH «( i-iim|i«rli>i>ii, >>hi>iil(l liu |>iil>. 
Ilaltnl from all llii> nrlionln kUit <'i>ltrt;iii in all |>artii nt Ihii munlr). mill tlin NtAlwl- 
.nla rati- III tat ml fur nu<ilt yrar, ni iriKitimi nl' cai'li ,\riii. ilililnu tlix ootiin pniinil of 
wth, 1'liU, t litiiw, BiiLj Miuii lif rlwi«, fi»r tlwra la mi liuik of matoilal ou UBiid 

IIW til ITKlL llmlB •Mil, 

WKKkllT*. 

Ill Dip ii'^tmiilnu l«<i liililra tit %\ui wrlsliU, tin- Hii»i'ihiltiii>u<>r tli* Ml raitvia ia 

RUlral anil rurtlril mil » inlliiK lu llii' aaiiip ]irliii i|>ln ■< wiu iIoiia Iii tlio two 

' (klilM uf lliH lidchlH. iiiiiiH-ly, 'Si nil raiiti IiiUlt;, Tiihli- .\ nf IImi Wrlctita pii'MitllriK 
lb* Nrar'lj* "f tlir H.imi' rnili'tn ndTH'il* A uf Itir Iinlil tM. iiiiil TilMi? II uf lt>v wi-ijihta 
prMnMing ilic rci<or>Uuf l)i» aaniv I'Oilcla an Talilo H uf tlio bui|!lil«. 

Tal>l* «/ Hvifitt*. 

A, 



\t- 



nrat Svnoil 

iiaikliiA' I rumiua' 

l^A1 Hull 



Plml I !«inaiA 
vunliMi '■•iiilm'idalB. 
IIm iIiiii, I 





Ti*. ■■•■■ 


Kii». 


K.'«. 


■ ^ ... 


l« 




w 


»l 




l« 




ta 


K « 




17 




».) 


no 




it 




U.Ii 


(11. < 


^ 


tl 




WT 


ni 




U 




RS 


m 1 




■• 




MT 


71, S 




» 


B ' 


U' 


ft;. It 




n 




n 


wn 




t» 


1 I 


ut 


ftT.A 






t 


on 

■-■* 


W.ft 

m 7 






■ II 

M 
M • 

11 u 

l> i 
a 1 

It 

» • 
t» > 

n * 
1* t 
It 1 


» 

M 
W 

ml; 
»1 

■i.ft 
U 

•1 

M.1 

n 

TOL* 

n 


1 

-1 1 
ai t 

U3 

m I 
in I ■ 
u ■ 
HI. a 1 
»i i 
ivi ^ 1 
Ta.i 
» 
» 1 

M 
Sl.k 


3.x 
1.7 
1.7 

I.T 

1 
l.il 

. t 

t.i 
bi 

,■ 

8 
(7 


1« 

IT 


1* 

IB 
t» 
It 

J! 

H 

la 


11 1 

- 1 


TJ.i 

(11. [• 
■ni 

■ LI '. 
.'.Ik '1 

«,' 

11 


m 

« 
us 

M 


B 

JLB 
l.t 


la 


4.5 


H? 


VI ...... 

■il 


« 
i 
HI 

(.1 


m- 


m 


(I ■ 


mi u 


M.* 


!.« 


L ^ 





S.Ex. 



;« 



biB 



1202 



PAy-AMKRICAN MEDICAL OOSGRKSS. 



On loohing at tbp iir*T»|{«8 i>f tliMw twn tablu, It will 1>« tiotip«d Uiat Tabla A 
gIvM I.K it n klUi li-u th.-iit Tabic It iit tho ■tori, and lli:it llii* diflr<n'tiiH> b«(w«c<ii 
thn Lwi>tiiVilM it'uw* Mill fjriMli-v ui IlK-nucoml utad(iii-it>vul. wfavn it in fonod to bo 
3.3 kiliis. Tlif nv<Tiitfv iiii'n>iu>p of tlic llnii 3^ I'HitFU in 3.6 kilos, aoii tlxi iiTfiTii[:«< 
Itiririiiin n( tlin amiiKl 'Si 1* 3.!* kitirn, or l.H kilos innro. IWitli nvpraij;*!* mlilvd 
loi^lItT ^>V4> fur tli« riillm nonilirr »f iiAdclK nn bvpiiic* of Cfl klki* at tli« liiue uf 
llin lint iii«:MiirMiKMil». <iii>l II-1.3 ktl(>« l(ir tlitt ieconil iiMutsiirMDFnt, ainoiiiiUng to a 
■uaii'MinnHl iouroiuiu in wutght ^f 3.:i kito*. 

l''n>iii IIh^ olucTTiitlon* riM'ixiloil [ii ibu pnprr Itj I'rof. W. 1'. fortr, at Bt. ■•oula, 
It wpiilil a|ipi<iir tliLtt prr^nutmiN iadiTiiliiala urn l-illef a« woll il> iHiavlnr, lUtd 
nirllirrmoro that Ibr itllfi'O'iirn in wi-lubt Wtircoii <1>ilt iiml prm"' '"'>■' Iki^t* eravn 
);|v:ili-i as they nv^r hI.Iit, Slmi', «li/iii. tlw lirsl :!& rjidr i#. Bit wo b^Yi- wun mi fjir, 
are HinHlli-r, limliirr, imil ti»» iiti<>iifl tbuii ilio Mitmil '£i. I Iiaro iMiUiiitiril ihivtr 
rxainiiiBlii'n inarkq in ur(l«r to *«>■ liow l*nrlvi'> ictiiills arv linrne nut bcrp, nlMi<)ii|;li 
(lilt tiiiniWr is iiuC vcrjr t!>nc<-*' <*u niMini; iip all llivir marks iin<l ilivldiiitt Ibe ■iitn 
b]r £>. IhiRM' uf 'htlili* A Rill* AT, mid tlioso or Talilv !t fiivu Alt hn ll>e iivcniCD, 
Bppiiri'titly rHiilinninf! I'orlri'ii olmerTiition*. On tumiiiK to SfaicK* lalilni <if Vale 
sliidriita. I lliiil Ilin nT«tM|[» wci|;;lit Kimii fur lA ymr* tti lin riTi.l kItiMt, and tlio 
vtcisbl for htiidnilo of IX yoara atiil n mnntli* tn lin CT.A; wlilli- tlin Anilirtvt tables 
j-ivp (i) kilos ri>T IliK 1ti->'i>ar-ol<l Hliiilriit. Tlif wpi^bbi of llio iiiilriH, ib«r«<rure, 
Mueni to b« kigtivT tbnii tbiiw> of Vuln titutlfiile, iiuil aliniil tli«< tiniiio ok tlitiiw nf tha 
■luilcDtA %i Auili^rHt. So fur, tlivii, wo bnv« foutid not only tlial t)ie tnemliini of 
T^ble 1) net* talirr, hoavier, iiiitl BtrungiT at tile start tliun tli« miniilwra of Tubia 
A. but iil»D Uiat tli<i iBcTcaM' in thnw ijouUliai wiu> fftnatrr im linii> trnat on, anil In 
•pltr of the oonditioiu bniug idoQtlcal. 

i.pso cii-Acmr. 

t>u IviikitiK nt llio t«'aii4Jo4tiIa|t tablotoflbu \auii i-ii|>arlty «» will llml, nltboiigli 
the ovM-agu lung mpnrilir on Table tt ia greatvr Ibaii tliat ou Talile A al Ibe aliirt, 
lhi> uvBragu iiirn-ara ia nboiil 20 ciibii' f«iiliiuet»iti les* ou Tablv 5 than ou Tnbin A. 
'ni«Hvriil|>o luD); rujiartty uflbe RO PiuInU at the llnit taciwnicnii'Ut ia 4,038, ami at 
llit> mx-uiid it i* i.lfS. Tkiii w«itl(l uiuoant lo ■ scmi-onnaal avt-raffe Ibomaan of IM 
eiiblt eenliinttt»n. 

Table 0/ Imnt oajOMif i**. 



x«. 


Aa*. 


Flnt 
mmt. 


KCDWJ 

■»■«■ 
im- 
tumL 


Oala, 


l«n. 


Xo. 


AV>. 


FMI 

an- 

BMBI. 


Russd 

nina*- 
II rf* 

uinnk 


llala 


IdB4. 




M 

10 ■ 
IT ) 
IS • 
IT « 
t« ( 
l> • 
» • 
IT • 
IB 1 
» 1 

» a 
» 1 

11 * 


t-t. 

^« 

fcMI 

1,1a: 

4.0f> 

a, on 


XT«t 
■.Ml 

4. mi 


*.4. 
KB 







m.aMi. 
■0 T 
■• a 
» a 
>■ f 
l> II 
i» 

tl 3 

It a 
IT a 
11 a 

M 1 


4. MR 

a.ui 

i.ws 
t,oct 


4.Mni 
4,K«« 
>, 10:; 
ll.4(r» 
a.un 

4,!M 

;i, ~4s 
J.uni 


t. *. 
'iu' 

IM 


'. •- 




10 






M ::::::! 








lai 

lU 

■w 














sit 






.,.„. ...... 












I Nl'- AMI 


1 

1 

1 




101 

s 






i.aaft 'T 




















I. Ml 

S.MI 


4.(M aU 




la » 


4. on 


4,1U 


m 






^.ta 


l«4 









PAN-AMERICAK MEDICAL CO^'GBE:&g. 
Titbit uf lumy <apaeilin — (.'oDIltiand. 



1203 



F — 


1 , . . 1 SniiIHl 1 

j^ fT- MM**- IA.i- 

thrut. , lUriU. 


Um. 


V*. 


*■» 


WW 

mml. 


■WBt. 


■iBllh. 


Um 


1 


U II 1 f- I ;ni ' sn 
l« u 
1* a 
11 a 

I* S 1 . t: 

H f ' IM 
IT J ' •: 1 1*4 

J.lm 

I.TW 1 

11 H 4 Wt 4 I4M 


15 


H t 

u « 
t> J 
1* 1 
II It 

a 1 
i« II 

I! » 

ID 3 


«. *. 

4. IT! 
4.MU 

I.IIR 
4.M* 

4.Mt 


t.mK 
t.w> 

4. Ma 

J. (41 

4.VUU 
1. 1' 

4, ■■ 
J. '. ' ' 

4.ni 


•.(. 


m 




... 

i ■--■■■ 


' ( 

"1 .... 

ini 

I'-l .... 

M4 


r- 


S::;::;" 


te 4 
1* 1 










I;:;:;;::. 








4, an) 


4.311 


W 


w 


».,„...... 


la 1 i,Rtt 4.IM m 


::;:;:| --'- 







It if-miilii4 tit l>p aililml tliAt tltn Ikiik rnpucitirti u'cru Ukpii by iiiMia< "f a (I17 
IppliuiiH-Irr ti-Kinti-rliic i'iiMl- iiicIips hIiIdIi. fur lltn suku nf onifnraiilr, iron alter- 
In itnlii I'oiirrrlixl III In t'liMo p^iilliBi'lrr*. 'niptc In. [irHiupt, 110 iiiiigle Btililrct hi ciiti- 
Bh-IMmi wilb I'tij'ukal iTiiliiliii; iijiai) wlilcli biiitii nttfut alioiili] )io Ulil tliftn (Ji« 
Ally nf itr>rl'i|>iiiL' llin ■■■"« 'apntltf. 'Dm cufiiilillllf ••)' ilitiwliie n diiRlrloiit 
ml r>r (ixyt^on Jiilii lli« »>'iiti>tii to iiu|i|>1]r iit alt I.Iiiim iiml iiikW all uixidltloiis 
ilrriiiniilinrirB lliu invwury qniiiility foi tlie fiill iiiirfotmiiiic* nt llii> runctloii* 
^ktirf lit iiifi ri>l| ill Lliitt syali'iii Diimt vwr l>» liKiki-il i>|ii>ii »a ■> ruiiilitluii of Uit^ 
. iiliiiiMt imtHirliiiii-p. It In OIII1 tif Ilw) pharipal iiimi of llii> pli^-Hii'iil Hliicator. Uu 
' Um ■idwr liumi, Itin ri-Mrrvn inut^ilrila, ntit linlliiC tpiciiIbiIj- oxllllfnl, viiulil Kl"'l'>ltlly 
I BPr OBI tl lull-. »lli| Ihiiir lirMi-uro in rl'-cng In ll>» rrmxiliiy li'Uil lu lll<- rll<l l" tllr iiio't 
|»>rl<iii» <llhUit>iuii>>-< of l»<iilih ihtiiiigti H>il"-ti>toxU'titi<>a. Nuw. iIm' qiiaulirynr ail 
inHtiirnil IdIii itio •yKlriii iil ■'»• li iMi|iiiiil>ciii Ih^u-;, iiiittirHlly. rrKiilntnl liy tlio 
rtiy iif tlii> Iiiiii^. il l> or ijii'iit i<i<j>"Ti^nc(> lliitt llii> romlliioii" iiii<l«r wbicli 
lutiir ir<»k i* •-ii|»Mi- nl' iii<-ii-ii*iii); tliut onjiacity «li>iiilil I10 111" ruii )• lily uDiti-r- 
r*l«uil. ArruHiUK lu l.ueruiiE'S '<"• "ox'b iiii|H>rlnim' >inA Wvii ullavbiHl to tlui 
|rii>irliijnui'al <>f lli(i*ir iff lliu iiiiui'tra Iknl rUviiti; Itio nil", 'iii'l I iiiil Dint thut tlM 
[ M4iii> iiihukrii l<(«A t'r"Tiit» 111 llita •-■tiinlry vrtlh r>^iinl to ili« infliirne* on r1iM( 
^Mtiorlly In Im iloclv*!! lYixii tlin tinn uf Uin {iifii'ilur I'biwt irDltfliU. 

Aminlln(;lcitli<<MB)i>uiillHif, 1>«iiai<iiy'a(-<iiii'lit«li>iinl>>lli«<'nWtl)mtiiieraHlri'nt«tB 
(ill* fibvM iti Uia ■lliliiiltq ill wliii'li tlin 4>ca|l•l^t^ am (Irnwn l»ik imd Attil hy tlin 
MmiUilty anil niiilrai'lloiit of Ihn rlimiili-iiilii, lrB|ivill, nml Uliniiini dnnl iiiiMi-Im, 
I tbii Iwlly rttlriwtril )•> Itii' i*i>iriiliiiii tif llm vi>ri>vta lulit tlin tlioraA. Ihnii diiriiix 
lri'|»HW. uir fiiiTir'Oy «mii);> Iii lbi<. niiiililiAn w# find (li>il. all ttir> iii>pirjlt>ry nmii. 
IrtHPirnpl llin illitihnipii un^ In n utalx uf fortml r>iiiUni:tiiin; (li" ■llnphiii|;ni oloiio 
I ri'ianin* In tlin puiilion iif rf--plraii<iii.iin>l yi-l Oil'' 1h i>\»(l])r tbn nmitltimi in itliirk 
]«■ fliiilii'ii*>'h<-s III tlifiMi i'hIW |Biiiti>iii I'f uiii-tiiionHO innrb inH>^:x•] ni^in by ili« 
I luatinrUira >>f Inlunliy tspli'^. Tli-' tnilli ••( tlim ■iviilti'r tit lliiil (•linlpri-rit ijaiiMHl 
tu Inns I'liinicity \if llii- rlavBltoM 01 iliu rilM m In*! by Ibo aH>'i-iit of lb<Mliitplnu|[in, 
I M»I. tliriol"'*', na III! nsi'ri'i'u for in' ii>n>iri|t (l>c liiiiu •lapiii'ity. tt>i> luuii'Mit-rp la atiaii- 
IttUly williiiul vnhlr. A ■luiiliii, M ii"l i>t>-nUnil, <«nillllnriitr lbtn|r> (imvatli ilar- 
iBjt pxriFiBra iiu I|m> v^noiiK i-lmt notifbtx. If. nn ilir iiflirr buu't. Vr4> will tako a 
JTvry ilrrp in*|>)r>iii<>a. wr dml tlini wn aro abU not ntily to raUe our nliA to IIm 
ficrraliial (MMaiblv liinil, (>ut w« Mill nl*n (Im) tlial tlva diiiplimxini whi'^b I* Iho 
I latyinil ninl Rinat |Hi««<rftil iiii>)>initory niitarlc. will «Uani in (lip mnvfiiifiit aiid will 
ill til* iilNloininal viH'i-ra iliiwn until, inntrnil of altuuiDK Iboni tn Iw ■iii^koi) up 
> tbcrbfot, tliiM inatnilally anlarniiis tlii* nbwl I'aiiaflily. Tlx) veftlrnl illiuuwlnt 



1204 



PAN-AMERICAN MEDICAL CONGRESS. 



uf lU« llwrax will bo iiicn-Bwiil in tlih miinrior, wfail* in Ui« ailttv (luBilltlnn ll wa« 

ilitilioinlirtl l'>- vMffMl imiiitatiDii, Id llti> n|>itit<>ii dI" i.iigtniij-c, «ilL wliirli ««> 
nri' in pi'trcrl jucont.tlii- lm»l iligrliioiiii |iylii(iiuli>'t-<>iuhiii>li<-iiii aru iiiil nK "IBriHot 
111 tiM-rciwiBjc Itiv iiitraliiiinii^i'* vpiM^t-iui aio tl«»j> liMpiniUoii* xtlemulliiK wilb |u»- 
bHiiitl «x|iiruii<>ui> matin (tuilii); ruiHiM'. 

AihI ili«. tli»i«f»ri', iiol cinlr at no iidvniilngi'tiiiiM^mtr \hu ibh'hni«« nr Ibo tho- 
nrii' waliH iiDit tlie ni'iiti'liq iiiviiriii); Ihi'iai. Iiiit il furiiu ii iliti'i'l <i1mIiwi|« In III* 
iKiriM*) ntiii tn>irr Biitunil ni'ibixl nt iiiiiaruiiig tXvs intinlliniiwie aihtre Avm williiB. 
tl la fl!»m wlllilii niitniifl tt<«l Itie fiiti'D iMi|>iii>lu of nxpunilitiit III" i^bfMt nitikt »et, 
ami ii In l» lti« l<iii)tk tlii-fiiimlvn, iiuil nil tg llif ttiux'tiA Unit tliv clilrX ■liiim In t1i» 
uitanKin ill rumi :iml hIik ••( l)>o rlirwl liti|i>ii)^. Tb>' iD'wt iniuTrl'iiI lii>i|>imlnry 
Iniot-ten cnn r>'<t >»>»< lh» rilw. iiiil<v>f Iliu iiiTi^H llumim<lvi.-« |arlii>i|>iiIo in lli« diotv* 
nieiJt of oXIxiUiLOX. i>a pvvrjr uiir I'liit llml uiit im liiiiitclf, amt, nii tho •itlirr Luil'l. tile 
iiiiii:)! rail iiiiiH> liii> ii)» vitlioiit il» nt>l III' lii<' ii><i(-'l». for (li* clinlii nf ■<ia|ihj'ao- 
llinli'ii'' ;-i-<i|ilr ii'iiulM riiiiilril in ii|itc«iir IbnlCi-florlx lii Iiiurt tlic; rili* mill i'Oiu|>1i>li< 
Mii><-x|i<tuluri' Mii'vriiiotil, In tipilpr, Itii-n, li>i<ulMr);i< lbi> rji|i.-ii'lly ..f 111.- liiiij;. It ia 
vlfitir tIjBl u'p miiKl n<>t ui(nii|il ■•> iii;l liiiiTtly <>ii Ihi- riiiiKvl<i» tlist aiv .-iiliiriHsI to 
Itic vliKil. lull w>* inniil |>n■>lt^il»^ rxerciwr* calfiiialnl t*> |>ti>ii>i(« Ihv iikhI vxli-nsiv* 
reH|ilTitl<iT}:' niiivMiW'iila. nr. >ii flt1i*r wonin, attch iin prailiicn tbo ;;tviifMt riwpiimtnry 
Di-i-d, mill iIiIh I» ■ 1nrK<! aniiHint of miMicdlttr woriiiliMie witlijn n abort apann of llai* 
nnO rnrrfiilly KfAitnil ninnlnji. 

Tlio re*ult« wliu-ii v/i- bavi' attiilniil with Ibn M) ciw1«ta *a tat aa Ibnlr InnroAMi in 
Inni: ■■ii|i»elt)' i* ii>i)c(>riie<l, »bl)c tiol i>)i-ii>1iii<-l,v ]iui>r, an< l*f ti<*w (■■•ioK ■Aliafnc- 
hiry li> nH. uikI ttiio )ii>itit will l>(4 Hunin rurcrii-il In <ini1pi' " Viioi litilex," 

In lbi> ai'i'i>iii|iniiyiii8 T/iMc ttt iiml ('b»ii i Br<> vtliiliilcl llio r^iMilla of Mmw 
nlHuirviiMmiK ou IH (.'iiilntu iif iiii iir<ir>it;« iig^ of ill fcarn niiii .1 iitimtli*, ■■» whitiii 
tlir iij><>ri> (if^iillRi] |<Tii«'i|>liu> wi'n- r«rrii>it aiit iia Tiir ■« tliat in t'lMlMo. Tho 
H|>ci'i.-il nxrirlHR iti iliiM' •■iUr» rmixli'Init |itiiici|>nlly 111 rt»(> aiov(>iiH<iita witliulit 
D]>]iui'>lti«. mill rarofiiliy cni'lnl. (ir'ii'ri'ti-ivi- riitntlit)! in llie njitMi iilr on ■ iinijiiM'l}' 
rimntiUL'tcal iiiLiniii)C track. Tbr.v weip. in lltn l!r>t iiIuik. tuaj;Itl boir to tirrallui 
pr<>|i«rtj'. \ti\w lo I'nrrjr tli<'iuwlri>H <liiriii){ niiiiiiii;;, iiiiil n |»iiiil iimro ■■■po- 
Aiallf iniprmHiol ii|K>n tbi-ir niinilh w»> si-viir ti> run liBjriinii tlie lliuo « lifii tboy 
hoi^iuiiri bitii;ii»il. No ilxAil iieninl oi' liiDu wna Ml, hnrjitiKn tlinii imilnrBiii'n uoitld 
vnry iintarali;r ltipr«vw> Iml K«i'lii»llrf mid nittat rary tlafiy itwinic Ut nntaiiln Inllii- 
ntiRi-a nvor Hblcb w« liavn im iionlrol. Aflor ■ rnry abiirl tini'-, anA irbila ■Uirll]r 
fnllnwluit Ibia iftjKix'tiitn of iMivtit iiiiii*liije tli«r |uiliil uf TaliKai;. ibry all w«r» siImu 
ni'li* Iri run a inilr ultlmnt fiilli^iii-, niiil nnnic v<<ry laiirb rxn«iia>l tital iliiilaar*, 
tlwir gi-n«ral iK-altli oiiii Mrvii^-lb liatiii;; iit ibo siiiii« tinia rory iiiat«iiully' InuroaMtl 
nnii tiuprov«L 



I 



T.tni> tU.~Infi»eiMr o/ iHtr mvntli'i fftttial etmUt m Inuy fmf*r^^t of IS m'lrtii. 
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>S 'd 1;^ 1^ ^i i- !^ U <i l»t 



PAN-AHRRirAS MKDirAL CONnitESR. 



1205 



Thu Utili> aail cImiI bIivw lliat At tltH ffinl <if uno uioiilili »u averagi: inrrwwc <if 
B3I unlili' (wuliuiriiirN or W> mtlitit iiicli«s wga ohwrvitil, whirb iiiiioiinl ia initm Ibut 
oVwvwl i» ibv bl rtuhttK kt the villi of aJx iBUBIbi' |{)itiuunliii Work. Iiurlii); rau- 
UIU|C iDiwt nil »r ilia liiHucliia ■>!' Ilie buiniui Iiwly am nfliivrly ni^aicoil, 1x1(111% tiidrr. 
wium IrMt; n lutx" adiiKilit of vitimUH Ulnnit b> )>m>iri) Inin tli<' il|jl)t slilt> of llie liisirl 
bihI UiruuuU tkn luiisT*: ai> ■■■■■ii'niiiii itilri^l for o^ii^it r.iii>eii ltll^ iIivjimI iuiii>initiiiu 
wliintt. uflni rG|>a«t«il ii> tliry mi', init-it j^ivn ris" In nii iu''ip|i<v>| iMni; rnpiu'tiy, )>ri>- 
vlilllitt I"' •!■• ■•"( lit 111" nuiiK) liiiiiT tiiki' lo" lir^ivy L-XiTrUtii, cnK'iuiiiK ttio iiiumIo* 
ihal I'uvcr mill ■timiiniil (In- vlivil, Ihiia U-ii<tiii|; li> n»iii|ri<'9U It from williniil. It 
nil* ■ulil uIhii'i- iIi^iI lHii-l<<y riitiiitiii{ ■* Itte^' uiikiiiiiI of iiiiMi'tit:ii' work, iliinffrilAdm 
thurf aiMiv »/ llnx, U'iu> olii> of |Ih> iitniDin •■( li|i-n>:iHiii)C III" liiUJi: <'<jin<'it.V. Willi 
r*|^iiil l<> ihi" tiiiliil, I llHiuj-bt it tii|riii-iiii|f til lutrrrlnlti whnt i<itltiriic4> 011 Ibu liiiig 
rii|ivrit]r ol' Uie |ilnii'''* "'O" |>ii>vi(li-il lij Ibv piijiiilur jj^beiiii ii( foutball, 'Ilio fiiot- 
hall ■■■uMin ai Atiriat<'ili-> 1i"Kili» nfli'l <Vi»Ih-i- I. :iu>I <i« Oi'tolmr IH I cxiiiiiiiieJ 17 
(ilBJfM* wli'i wrn> (lie laosl likuly ■■■(■oiiriBHu pli.vtiiK tlintiiKliaiit ibr m'umhi irttli 
rw^Mil t>i tbi'ir liiuic r«piu-iliM. Tlui iuiqi' |itiiyi-rii wi>in <<x»tniDn<l nn Nomitilinr -Jl, 
oaiil I iMHHL confcMi my •utiirlan vrMgiriil wbcii tlit>y iKHrly nil I'ttinu lurk wiUi (W 
tamm lantt riatiii''ttl«n. Tlio iKily liirrruv ia liitix I'liii-v-ity iWr biul lukm )i<ii''(i wiu 
iiiiIhI ill trn bnlr-tMrks, JiM ilw odiu wbi> tiwl I'l il'i in<>*t i>r lb" riiiiiiliim'. Wlu-ilier 
llii> rvanlla uf my utiMTVndiiim wmil'l hii>" Wi-ti illilnri-iil if I biul ItrC'ii itblf tii iiuk« 
IK) ftrnl ■■iiiiiiiiiiiliuB >>ii OuluWr I innli'iiil ol' Ibi' 15tb. uf uot, 1 an, <if emmHi. 
Ul)j*t>t>> lu any ; Ixit tlimt- iitiMrrt iiliitns lim- ^■(■iid fur t<i ci>iiviti<-i.- iiii' of tli« fiirt tlm( 
if Ibrro !■ any liiMiiriK" iit I'lnitlicill |ilityii))t on Ibo luiij; vuiiwiiliin uf lb<- iil^yrnt, 
1)ul liilliKHii'r iiiii>l If rvrti-il tiarl.v in llii.' I"'|illiliilijj uf Ilit> tii>ri(Hl u( tniliiiii|;, (<iT 
»itrt llix < lt<i*l Ih liijilail iliiwii Witb Hlmiij;, blinl liiu>«li«, |[ Dliixt l>i>ivim' Iitui-iMl 
till [Mfaal till- for llir I'lii-Ht i'ii|u<'ily (■> I'lilui];!' I» niiy )irii'«|i till lit rxlnnt. 

Xiiw, nbll« iriMii II )>jiyxl<>l»|!ii-i>l |m>Iiii of ilovy It In lurriTily iHiMlbt" unit liil«lll- 
|[(lili« li> Ilie (iriiiMT i'vfi'i*a lo iiirmiM- tlui r*M|>lrjioiy i-ni'ii«iii<y iif 11 <<rH:iin Iim. 
ilril atnu iif liiit;; BtirtNirfi witliollt eVdIi itivroiiitiii)' |Ih> •'il|iarit,v at \hv Inn;; ilwtf, 
II nlitht, knritrlbi<tnM, Ih' iIo-bii'iI |{<iimI ailcii'v lii iilt«iiil t» Ibu Iniii* i«|iurily ai>i>i>ril- 
Ing Ui Uui Imt |tiliii'l|>l<u lwr>in> 11 lie ill |> tins to li'"7 l'>* K'ni"' ■>■' I'oulbull ia rr*i 
aarmwt. Al Utiy rat'', <i< bioic an tbi' i-xi'biiiiK<* "f K*>"* ■" 1^'' '""II '■ •'■uplj 4 |>by»- 
k«l (inirMa, ■trjiFOiliiii' iiiioii IIm itlllrMntici' ih (larltn) jifpjwnin bntWKuii tli« CO, ona- 
bUMal 111 lli« M-onl oil oun niil" of |b» tiv>|ilnili>ry Inuroiin liioiiiblnUc- aliil Ibn <t 'if 
Uip luliali") nil iHi IN'- •■Uicr iitili' <i( iIiIh ■iiini' ■iii-tiibraiic, tlix uuuxietof 11 laki'ti lii, 
lUlil iif I'l l| lli^rii on), iiiimt Im liiiikol li|fim ;>•• l>«iii|! Ill itllrrl lif»|ii>i ll<in Ui ibn 
liibat mtiM-'lty "f Ibv lung it« iwL-i:Ttaiii«il >■> tli« npitunwiot, J 

TitTAI. •rKKN'llll. * 

Pur lb* pur|wiw irf a«n<niUniii); alwl iioUau any rbaagna tlial iiiay liava Uk4ii 
|dac» 111 anr tmliVHliial biiiiialt Ihiiih iiftisi liaiiiij; liitil a viwiiw of iihyati-iil Imiiiiiis 
lu tlH-g>Bin:i<(liitai <ir plMwImrfi, 11. i»«lmc>lul«ly i>i>iii<iuary Ibul n<i nhiiiil'l lia»i< mv- 
«ral ri-ty tbi>f»iii;b tnita bbiI nlalilialiMl tuuilnoU of ■■■nlitii-nt M'IniiUlir iwviinwy 
saitly i>|ijillnl iiiitl nuitDniily nrrn|ili>il ami rullonnl, by ini-iiiin of wliir li |<rii|tTnui lu 
•■nrtitiii lilt •«'( loll* i-ati bi' iliilkolipty wMM<rUim-it ami llui trxiilu (-oiufiaml. ,\iiioiik 
tliiH* Uial bBVC HI fat U-mi rnmBimmtilixl Ibn totui Kiiriijitb li»t la » iniMt vii|iial>U' 
oiiu, Wbru I (11*1 Iw^Hii III «"rk with II I laii>l iiialin- I h.iil h(tt« rnnh'l <'»•■' HI 
lU lalun, (ml fiinbi'T dx |ii'rl*ti>:u oilb ll ban ihumhI iiin |ii Iwik Utiiiti ll no 11 IiiimI 

loiportatil uiiil ■ifliillliaiit Imlrx. ll uiu f»r IJio joirt i( 'till f'lrUir'r twlili); til" 

vnliiv ol Mil* ll^li'X Ibul iImi '•<) noblji lu •lueil ion m-rn tliviilnl 111 ■MTofiliiiim u iih 
fbr aaiiiilltl iif liii*i>'iuo ill total utirnKtb llii>< bml luk«li |>l.i«t iliiiiau Ibnr nix 
iiioBlba' iralnliiu in ibi> ^-vniiiiMluiii. Uti loukliii: iil Ihc Ublav iiiUii'iitln^c ili<-li tiidil 
atrvni[*tb. I iiHik liu kilun 114 llir illvl<ltii|; I)im>, plnrltin; tli<iu> wbuBi> imiviue HaHlMa 
lluii Uial i>i> ulM aide, anil IIiimb wbiHtu iiirivtUB eiiretalral lliat llniil on llm uU>i-r, 
■4i4 fuUtid tbAt Ui«y were quite equally illatdbuUid, Buiwly, 'A mi vlUMf Mdaj OBit, 




120fi 



PAN-AHEKIOAM MEDICAL COK0KBB8. 



ito tii >• n'B hitv« guav, wr> bnve foiiud ifai! itvciof^ tiviglit, vrei|;lil, anil liiiif; capMt- 
it) luUL'b in fiivor of IIiomi wkuMi inm'uiio in Inlal slrMiKlh wa* iiIhivh 100 kiUa, 
u Tiiry ■i|;iillkiiiit ^inlitr, rvrn if titn iiiiiiil>«Tr nt inillvxlu^U iinili-r DiMvtvutHin 
bum fk not over liiiKi!. l*li>*i>i»t»|Ck'itl irutba ■>■■ not rtw|iiin< la nil r^imi lui ovor- 
w be) in 111;; I y U(k<' ""<ii'">>' "f IniUvtitiuiIn in uxtnUiali IImm Uf. Iml nuiiallrriiiiidbar 
u'lll suOIro fiiT Uiviii lliaa irmilil Mil&no for llir rxialillalinaul of tlio ••araur' |vii|(Ui 
■if ill" lliiinnli fpiiiut <>i (tii> (ItitikfivM of ibp (IijkIi, 

lluH ix itiitti'Ul "irviiKtbiif ail imIlvMuiiloiili TiIutnlT TlioeKni'Laniuitnlur work 
itutiu \iy wiir mosrlro in niuipli'-aliHl i'awh uf Iiildir in tijr iiu lueau* roAiIy JulKriniiml 
mill, III fni'l. Ii;i>iiu>t hvu delrriiiiiicil t-xi'i'iii in a fi-w •iMwialeaiHw. It in wull kimvi) 
lliat ituritiij inui-'iiUt work uf ikiiy kia<l. d>'i-or>litij; to llii- Uwa u( niiluri-, vrit^iu 
•iiliBliiariii all' lunl 'ly, Ibi- iiuinlilf of wlilrb iinttl \tp hii1iJi-i-I to PBlnulutiob fr>iiu 
I lilt itiiimiiiC of vi'itk I but iriiHiliiiiK, fflT lbi< law itf odiik-n uU»ii of criL-Tg-i liulil* I(ih> 
in I lie ar|:Aul<< lU writ an la Iiu; lMi>r)[a(iir Vortil. TIipiiiiiI^iiiiI of worh tlnnr lu ttiww 
ra*v» i» );«ii<-tiil)>' i>v|>ri>*Mi>il lit kilui:raiiiiiKlri>, 1 kit»j:riutiui<-lnr imtlvallntc tli« 
iMiuimit of work iu>c«i«ur}' ■'• IIR I l.ili>;:iiiui i« i)>i> li«i):bt (if I iiMUf, or I ](rain 
lu llic hi-i);lit of l,i>00 iitulrrH. I'ti-. Tlii». tli« aiivKinl of iriiilt )>url'otiB>iI III walklug 
b UNiiiill>* (iiliulalvit, a<<i>(mlla); lu llnlnii-i. by l-Iir liilliinliii: funiiiila; 0.(/7I x k, |i., 
in wUkll fonuaU 0.071 i> tli« pnidiirt uf tlie buif-fat uf Itfl suil fall lu wub «t«|>. k. 
Ibn lioily WL'igbt, uimI |t. Ibn DMnilieT of oleiM I«kMi. Fcum llio ■tuoiiiit of Odrk 
tboH DlialDMl it in, iiu Ibu iillivr baud, niuilr «aliTuIul4<il b»w tuiiob uf albanila. car- 
liobydrutc, or fut wiu ii«-il up, bnciiiun (lii rabxto cqiiivnleiit uf wnik baa Imaii 
fiiuiiil 111 bo VJit klluiirjiuiiii'li^a fur uti" rAlniin, ami tbp uuinbcr of caluiirM iiTixliirad 
by liiiriil'it: niriiiln ilrritilto iiuaiillUiit ••( IIinh' autmlnnon* b^lni; hImi kiiuwti. lUil 
|bk( lucCliuil, alllioiieb iiiiicb iiii>in iimimti- mid -rimiltUc, lucntly IvIIk i» ill* sinuinit 
of itnnrijy tlut Is iicnnKsry tn V- wpvnilwl lii ccrlaiu kliida uf aiv^Ul vxi-'mioii at 
work. vblGb, niitliriuKiti', ma) iH'dlxiiit'iiitiluvttr > liiD|;i'rur sIiuiteraiMn-vnf tliiiis 
III milking MrlHl olHwirvallona <it) n tatito niinibnr nf JhtliviilanU w« wub motu |iir- 
Iti'iiliitly to nai-vit.*lii wImI ix tbi' Ui(»l itianmil uf acailablt- nn<-i|t) at ■ItNiKtIi 
wbi'li miy uf Ibi-iii nny briiiie (o Ixvt iijuiu mi niB-tii'ln In Iw owriuiiiv utmiy i^lvnii 
iiiiiini' n I . ■»<! til rnlnihili' lliai ■ imirn loii^li mid rnady iii«1)i<hI liad la bo ilnvtcnl bihI 
ailnfitCHi, and tbin iivutli»il in ibi' fidlipwliij;: 

Anvrdiuii tu tlir AtilbrujHiiiH'tiiv Manual of Amhi-rsl C.'u]tu|{o. |iiib1LtliMl iu UM, 
by im. K. IlitcbiMo^li and It. II. Mh>1)-i>, lli«mubi bsukeuuf an ibditUlual whoM 
toUl ■ImaiElb la to Iw I'alddaUul oio HK foDowa: 

t, tUfiralitrg ((rviglA.— Tin- xiibjmit. aflM" lixiKXitng tbu Elulbiiijt alioiit Urn rliMt 
•Ml) Ailing (be IniiiiN olKiuld blow witU oii« liliial I11I41 tlia mnnuUMiro', an in>tmiiMiit 
luado to n>Kistrr Uir I'lplnitoiy |trnuari' ia kllui aad Inallm nf kllm. Can sbtMili) 
bu takpii Ibat nil air dm ■)■■' nl thi< aidr* nf tli« biouUi, a&d that lii "IIivIUdk tba air 
Jill tb« iiiii9i-Ky< uf rxiiiiatiim ari' bionubt Into ]ilay. 

S. Stmgth uf b«et. — Til'- oubji-i'taUioditij; <>Dlbi> Irnu foHlrmt, vrilblbo drnaiwwi- 
ulrr M* Ainuigvil Ibnl wlioa );mKpiiii; iti(> handlu n lib tiutb band* bla )iif<ly wljllio 
ini'IliiiHl furward at uii iiiit;l<-of OO ■U>;:ii<n. ob-iiild lake a (kill breaib uiiil wlibout 
bpiiiliiii.' ■■»■ kiim jiivi- <iiii> buril lill. luoAtly nilb tb<- li«t-k. (8«a tip;. J.) 

.T. Himflh of U^t.—'Wxr iiiibjnrt wbdi' •|jiridlii|[ (in 111* fout-rp«l, nilb l>n<(y and 
livftil »(■■'■, mid i-biwt Ibrun'ii iVirward. hIhiuIiI •ink ilowii bv Ui<iidlti|t lh<> hiiriut IMIII 
Ibi! Ii4iiill(! f-Tulipd ivala ■luuliu't l!ii> llnetiM, iIh'Ii dtkiuit <> fillt brr.klli bo >buiild 

lUi bind, iiHnvipalty Mllb liU k^is a*itij; tlio liamUiti kM|i Ui« liiitidleln)iUrn uvvr 
lbnlbii,'liB. (S««F1|:.3.) 

i. SXtm^lK a/ a/if«r *rwu; ttitrf*.—t\\v KWh^t wlilla hoklln|i tlut )w«tli<in of rrat 
uiHiii Ihii itmraltcl ban, •■■(■■■arlliig bia «<ili:ht wllb anna altali-lit, aliould M iJie 
Iwily duwii iiBtIt lb« cbiu i* level wilb tba bant, ftiid Ibon |>iuli it up again until Uia 
ariua are ftiUy ezlcndcd. Nut« tb« UuiubM of tinica tbat be oali Ull bitnaelf iii tbM 



< 




I 



MEUIirAL rMNQBESf 

S. Snmifik !>/ »)>(ir-i uriHs; ftitijwi.— Tliu miljjott bIiuuIiJ griisp m l»)([*imiul lia,r o. 
jinirvf riDt-niuiilliiiii^ Willi llm fuotdour fti-m tlio lluor wliili- fbo nrmsariiBXlJ'UrlBd 
Nulu iLo iiiiiiilier tit' iimi'H tlial lie uuu buiil Lhn lind) up iiiilil liiN I'UIn tiiuclii'a tin 

S. SIrrvylli nf /nrrarni: — Tlio mibjciiC, whiln linliliiijf Llii> rlvtmiiiniiii'l.pr (Kiji' 3) •" 
Utal tlio ilitkl iB (iiriiiMl iiiw:iril>i sliuultl hi|ti<.'(</i- i.liii K|>riiiij no tiuril uh [lusfililv, lUr' 
witli IliP null t Mill] tlioii wltb Llio luU liiiixl. Tli<> iiiimlii'i' iii' kilos Uiiiy lin ruiul <i 
rnini till' iliul ii'kI i>iit<'il. 

TulrtJ jifrpBHi/r.— t'r.mi llic al.uve iluU llic t,.<Cal luiiivldiiHl siren utti if I'Eilriiliitn'i i, 
fi>I1i)v,it: Tb« biiilily wt'ifjlil ia miilliplii.v! Iiy tim mini ft tin' ilcp lunl [mil; thia u 
■liviiliil liy II) (II previiiit Ini' liirgo it iiiiinl»'r oC lifjiiiMS in tin: inli:iiliitiiHi. Tii llii^ ia 
lul'leil till' Ktreiiu'l" of liHtl'. Ibi! Hl.rtnylli "I' li-(;«, llm iivoriiyi' ••( Ibe furtiirm, miiiI 
tiw luii^ Btri'tiKtb. mill Ilir ri'^iilt i» laiiki'il iipnii na tlii' lnt.il xl ri^iiglli. Fur l>\iidi|<](' 
tll> ni'l^bl nf lliii siibjiti'L bvlii;; lil, tiur ill]' 11 iitiil t.li" |>iill l-> = 2^J; I. hi' lini'k nltcugl 
IM, mill ilut l»^ ^truii|-tb l^U; llin luri'ikmi atrmif^tli d.'i, iiiiil iJu' liih;-n 3.0, tbu rugi 
■ill li«: IH X 2:1— 10+ I:j1 + IB(I + 454-2 = uJI. .IhhI why Lliu .Ircnglli i,f t 
iiiiiei'ltyi iifthe upper piirt uf tlii" buily mm imt (■ri^iiiiill^' iiii'liiilpil In this ti^t U Ilt> 
■lltllrulC III uiuke uiit. Tlie stmriglli nf Ixilb tbc i-licitt ihiiboIkh uiiiI iIiohk i.bnl. exltir 
hetwpon llip spinuHB prurcasrw iiiiil tlin Bhnlilib-r |ibitM I'liii i.'nslly lie ft.ii'prtiilliO'1 I. 
OLP ninl thf ■riiiio Jlixlr'iiueiit.. Tliiiai' tin* -ii-tiinlly given in tln> Nun' Muiiiiiil I'l 

n;*fe*l UMWuremanU, }>y Dr. LBtfaei Qnltek, whose excellentl j tUiiBtr»t«d muii 
iteald be in tbo tumda of eT«rf one taking •aoli meaearaniBiitB. 

For the Mtke of ttniformitf of leoordi ve hkve, however, adhered to the orlgfual 
iamiilB And odc tebUa have bU been oalcnlated iu aocoidanee with It, m h to nwka 
tham comparable with tboae aaoerteined by all who *re takiog such teste eltewher- 
^fctottrength tert i» not devoid of all acientlfle acenraoy, bntpoweegaa a certain deflal 
ph;reiological value. If we take, for iiutsnoe, theKaatroeneinlnBof afrogand pL^ 
Ml iudaction ahook through it, we get a eontrftottoD, wliether we rtimulate directly 
oriodirectly. If we attach oert^n weighta to one wd of the mnaote and Inorau 
tbeni gradoallf and etimnlate, there eouee ft ttOM when our ■Ufflulna ta no lougi 
answered by a contnictiun of the iuubcIh nnd the weight attiicheil to it will no longer 
be lirtfrd, ulthoii|;h tbo stiniulus prisBes tbroiigb tlm inusrlo us is juilifated by the 
gnlvauuuiotcr. Iu tliis •■onilitiiiii, in other ivoriU, we liavi' iirrivisil iit Ibu iveigUt 
whirh exactly I'otiuterlialnuci'ft tbu obsoliitu povrcT of tbe inuacle umler obserT.iliiin. 
In the above-ilescilbed »treii;;tb test \\t; huvc, uuiloubteilly, iiii aii.il(iij;oiis cnnditiou 
ofthiuKH. Tbo nuuibiTiif kilns ivbicb we iiin lift witli 1111 r biii:k» iiinl legs being tbe 
exact aiiiiiiiut neti'UHiiry tu conntorliahini'e Ibu Btroiiglb uf thosD niuMi'lea that wore 
etig:ige<l in pulling, iu utbir wordi iiiilicatiug their absolute strength Juat the siinie 
an tbu ahsuliitv [luwur in reprusuntud by weight in tbu ex|>eriment with the frog's 
gaHtrui'DHNiins. 

The niuMcnlar couliaitiou pruiluceil by th« stiniiiliiJi of tlm will may pitrliiiim not 
be a iiiuxinial rontrucIioD anil tbo cnrvu pruiliieed iu thi' ca.se may not bi- anythiug 
like Ili» ciirvu prwliii'i'd by 11 Hioglii indui^tiiin ubouh, but resemblu iiicire nearly a 
t«lanic. curve, ntill tbe aiuoniit of streugtb that tbeso tesia require us In enert at the 
tune represeuts the greatt^it possible iiinouut whii'li we are tujiabluof exert iug at any 
ouH time aud wbiuh is here expressed in kilos jnst the same as the absolute power ia 
represented in weight in the experiment with tbe frog's gastroenemiua. 



1208 



P&H-AUKBICAN UKDICAL CONQUEHS. 



ratal timtfth Mh. 

A. 



Urn. 



'a 
> 

4 

T 
M 
■ 
» 
It 

i: 
u 

14 

I 

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B 
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IN D 




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IS t 




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IT 




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n 1 




K I 




17 1 




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rint Seoaml 
nlimlBt- siunlna <>>li>. 
I Ida. I Uii*. ' 



Kilt. I 

101 1 

no' 
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«ii 

411 

4W 

US) 

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Ul I 

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HI 



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taj 

(13 

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re 



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IS ' tv. 



VI 

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1 

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la 
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la 

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nnil 
•iMniB*' [vmbIm 
turn. I Umt 



Ml 

m 

110 

ai» 
MS 

SH 

uo 

IR 

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401 
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li 
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la 
la 



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448 
MO I 
443 

ua 



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4M 

040 
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l<H . IB M T 

IM ; IT ' in 3 

III ' IM II) s 

va ' lu ID i 

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m xi I w A 

till u ti I 

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M* 

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m 


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oil 


xn 


lit* 


kr: 


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IIB 

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Ui , 



On «iainfnln|; tb6 tvD tolnl Htrengtb (aUnt vrn llrni that (li(<y avriitsr U|> na f-i|' 
Tlin IM) cuilrii oil ihi:ir i-utmtn* pviuiiliiatluii ilevcloiioil jn iivcincn t»liil 
•InuiDiL of %' kilo*, niitl nt tlinir onroixl i-Tiiiiiliintioii, iir mbinit mx moiitti* laipr. 
tlir iiv<>niKri total i-lmiiilli was MiN}, Hlmwiiijj! ii guiii ot Vi3i bili>«. obii'b In the 
lllChol itierit^i< jjE-iiti I'tiir u»li-il iil tlic Araili>(ii,v Wtwrmi tlip llitil uiiil sntximt pxbmi- 
Itnliotw, KiiilLirrmurv. wlii^ii iru iuiii{inri.' (liviv avuruj-i- alrcngth willi ttinl of 
Auiliur*! MuiU'iilH or (lie HiiiK.' uKi>, wr lltid (Iiut xUk lailel^ on i-iilrTtii|: wru X'l bilin 
biibliKl lli*> Aiiiliimt nlMili-iiIa, dIkuht iivf iiik<- «lr«iii;:l1i ut IK \i>niv, niiil w lilrli In mir 
averiiijo ai^v, MlKlvoii Uy llil>-li<-<>iik an IZU kllot: litit ntu-i Ui« wroixl i>xuiMli>ntfiia 
UNilTviuparlbg 111 miiliH null tliixii^ olitaiiu-d fi-ciui iIip naiiir •luiti'ntit, I'Sni ut \B 
jr4ar» of ii^ we tiu<t tliiit ll)« cuilrtii nni 50 kilus uhwiil uf Ike Aiiili«nit ■) iiilciita. 
vrkfMe HVi-nsD (Irrii;!!)! ■! tlint bui' in sivcii m H» kilo*. wkiU IIibI of tk4ic«i)c>iii U 
bW| kllin, wkirk taiiboiit 'JO |i<rr lenl atmvR Uie nvonigu lolol ntrnnitUi iililiiLiwi] 
IViKii l',£IO (i( lkt> Aiiikdiiit ■tiiilriitH. 

■ ^Hiking BlTiilfli} A, aiul u»iii|>ariiig the nv^mmi- wilb tb>iB« of Tallin H, wp Ituil 
tbul tk" ni'eraiin lii(ii'nsi> of ibu tlral '£i is 7T kiloi, wbiltr Ibiil uf tli« urnind IS is 
17l>kit'ia. iiUIhiiii;1i iliu liiriavr iier*< IK kilus abnul of llif iulnr nt tii« flnl i'»iHiiii*> 
linD. Ill orikr lu iin'ri'iiiu- nuo'* tnlul utiPTigik, buwnvtr, i-iiitn Ully wliik yoiiiiit bimI 
■till to (liwurnwiii); |M-ri'iil<if lifr. nn itn iiotulu-iiy* rBi|<ilro vl^TJ' iiiuiij' miinlbii loilu II 
rii, \ nioiilti ormx iini'h> ul n rll'thn-i-l^l ri>iri*i' ui:iy s'l'I <>ii IVoiuSIi to 3D |i4ir<:Tllt 
III IbBi atliiitKlli Ha I* w«ll Hliunii in Tablv No. IV iiuii PIhIv ii. 



i 

I 
I 

I 





J M .. M .. j . ,. .^ . M^. . M^U . ^lU . ,^.. ,^T T^TTrT^ 



PA^f-AMEltICAN MllDirAL rONGRESS. 



1209 



TaULH IV. — lujlttnlre uj our riirinlA't umial rsrrcim- ok lutttl hlrtnglk oj It- nnJi'U. 
I AianiBaca. II] Mm it BiunijM^ urivteit ]Hi.\g\il, l.TJ\ nuu., <-lHrr»iliuii iiiiu1i< In ^iirll. IW;.J 



Xa. 



a »„... 



1. 

■ .. 
• .. 
la.. 



MMII I. o Willi' 

jifeUiPiiv' KHllim- 



a*tn.lLnn. 



Kilu,. 


Kll»i. 


Klla>. 


w» 


MT 


i» 


mn 


1.111 


«n 


uw 


«ut 


an 


■Tt 


Ttl 


Jii 


ni; 


117 


TO 


ITl 


[»« 


M 


Cll 


am 


uu 


4TC 


rifix 


uu 


4;U! 


Md 


m 


ri;u 


7\i-i 


y-i 



So. 



II 

W.... 

n 

u 

IE 

» .... 

It ... 

18 



Avnngni 



P 



Klmt 


IliWItBli 


BKKlhi' 


BI-UI>I' 


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uiiUan. 

tfloi. 


KUk: 


T» 


WJ 


4111 


IK 


JT4 


BI4 


UU 


H7 


WJ 


TU 


sag 


Bit 


498 


491 


600 


495 


KH 


IBM 



Galu 



IM 
111 
IW 



I^Olft 



AiiM. 



lu . 






'Klakncaa, 

Tallin IV prrmiiila Ilin hiudk cikIhIs iim regitriU Uital stmuf-lh hh Talile III noil 
lull' I nr I 111' I 'I Hi; inijiujiily, l.lli- l.wii iilixursitti'iDS Iieiug iniilr. lu nlliL-r tTuiili, nil tJin 
KiiiiK •'»ilii|<t al TliB enme l.lini^. Wf tpu l.liiit aftiT hiuIi a sUurl liiiir ik.i i>ii<- iii'iiitli's 
B|H>rUU,v rlii^i-li'il *i»priiBr, iibirli wmt vrty li^lit ut lb.it, iiliil Ih'hIiiiiUii; wlili nn 
ttvmgn iif ''I't LiliM.nv liikil iiUCiiiiiril (111 nvrrtij^i' iio'ri'iiM' ri[ II:; klli'i. ^(^UiMluH, 
8till Itinm a|i|iiiri'iil ilm-a llml. Iiiouiiio iiu I'lllili' V .iiiil I'luh) III. MiTr, tiltliiiiiuli (lie 
aTimeo iTiirKUoi' iliim inn-iiiiit mily In \IK- liiliix, il iiiiinl '•<' ri'iin'inlurKil Mint tliw 
tiiltiul itvoniici) Ktmigl.li iif (III' »nvriili*i'ii i-niU'ls niiiiiHiiri'il wiM fll 1 kilox, mill »t tbe 
■ml nfTi iTiii'ka ruiil'liiill |iru<*t.l<'i' it. uiitiKiiileil Ui TIT. witli ti iiiu\liitiiiii or HTl itiiil h 
Biliiliiiiiiu atliVJ. A»iiiiilii^. uji nil iiiiinC. tliiil tli'Tv I'xblB u iiiiliiriil ioillviiliiiil limit 
t" ilovi'lupuiMil iu stn'Ufitli, tlif tucri-iuii- iiinil. Ix'tuuio xluwor tlii' iii-tir<-r wi^ uti|ii'mii'li 
lliiil liiiill. jiint lliD lUuiiuiL' )f")n-t1i III Itdfjlit bBL'uuii-n iiUiivur fitmi yi-iir lnyi'iirM wo 
•pproacli llin Uiial liuilt. iit uiir iutriiilml lii<l|;lit, 

T,iliLE V. — tnllnrniT ••/ luir ikiiiiiIi'i jiiiirriiT al /•mliiall oh Mat ilrrnylh nf 17 pUi\iirt. 

\\\»iui» itnit, IVyeHHSuiuiiUiBi avimKu li*!))!!, I,7illi4iuu.| 



Sa. 


WmiBi 

tin. 


HmmhI 

•tmlM- 

Ura. 

JniM. 

■w 

HI 

TM 
1172 
1IK> 
net 
III IN 

-.vn 

MI 
MM) 


U«lii. 

JIflH. 
41 

ti 
)« 

Al 

AS 
M 
M7 
UK 

luo 
iin 




niM. 

MS 
TU 

(MM 
121 
MS 
IK 
HI 
•H 
US 
7S.1 





















So. 



Vina I Si-oiiud | 
I'lmiilua- i.'xaiiiltiA' . (iftlu. 

llDu, liim. 




VITAL C*I**C1TV. 

Thf Iprm '' vilul rii|ini-||y " iia •-tiifiliiycd in '•oduc-ciI-iN with llie iiounl iiiitlinipii- 

liiclrii' ri'rciriUaii|'Ciii»tii inr ■ cM-lmt ininlpmliiiii, hiimiiMirh uh il itii[>li<'ii in ili- mniu- 

Ing a rprtaiii [iliymnloulrAl ■■ijiiltli'iiiicn wtiU'h it iIih-- ti»t. |i»mii-m. TIic iiuuio "vilnt 
ro|K>iiily" wiiiiiriiiiiinlly iiaiiil li.v lliilcliliiki.u tii ili'iiutii tlii' iiiMpirHturj i-ii|ini'lly "fitM 
iiKliFiiliiiil. mill wliii-li iH uxiiull.v iiii-iuiuiimI liy u iniHlitii'il uiMnninl-'r (fi|iirimii<ti.<rur 
Uiiidiiiiiuiii J. lulu \clili'b lliu ni.li,|i'ct brputliivi, inAttiiiji; tin- liuhI |in>1iiMKi"l i'%|>ira- 
tiuii iHiMibIc urti-r tbH (Ii.-c{ih( {lOMible iiiapiruliuii. Tbu iiiiniility ufuir nvbivU ut 




1210 



PAN-AMERICAS MKIiICAL COSGREKS. 



UiBs«x|wllr<l ttoai tlin Innga 1h InilioMinl b; ib« \nngbl iv vihiA tiu) tir cbnmbtr ot 
ibu ii|>ir«u><<ii-T Hmu, noil by iii«*ist< ut i^ »ciil« |>tw.-eil in oHUMclian with tliU Um 
nnwlior of tuliir vetitiuiet«rii ia i««il off. 

Tliw vitnl (uiiHU'lly iM rrronlMl i>it itnlbropnnivtric rhBTtJi Iuiim tnourtryiiiuutliiiii* 
ia otiialiical b>' illirvrrtit iiivIIiihIm, iianiolyi 

(DrtuAvvr <.tDUituiioiii«ir<n urtivM nt it Ity uiulUitlylui; (ho UuKlb of tmnk, 
rii>]illi (if cbwt, aiiil br<«i)lh n( «Imm1 lugi'lber: tbe mutt i* tli« vital cnpwity. (2) 
(iiiKck (Miitiii.il fur I'liyiiinil Mfii.'Xiritiiii.-DlB; ■liitui that Ibn ril.il ruikirit}- rrti^nta 
(Ihi •i>i> <if llin itunk, but "diieii not rR|>ii.-M-iit llio cublrnl klzi^ of Ibr l«<t], nItbutiEli 
II VAI-Ira ill a ;;nitriul wiky ultli ll." I(v> i-iih-iiliiliiK it bf mDlli|>1ylU); lb<> Iraglli iif 
tli« tniiik b.v lt>i< ai Kmjiii IH-In'tii'ii tbii ilriilbnf th» cliHti aiiil llMiilr|>ibi>f tlw abiliu 
niiMi. Ibis af^iii Iwiog iuiiltj)ilitil by tbe uv«tii^ bvtwM^ Ibc wiiltb uf lb* rli<«l miU 
Ibc wtillb of thv vraLil. JdoI wliatibia N>-ealtvil vital tapacJIy in iiitvuiliMl loivpt*- 
MtBt (!»» ti(>t aiiiit-ur la bi' Tnry lOisirly dcliii«^l In tb» ilcH-riptiuiui uf Hit- tii«ltiuil* 
far »litaiiiltij( II. If, >■ l>r. liiilirk Ktatna, II tInM it"t iv)>ri-M'iittli«i;uhlcal otMi of 
Ibu Ixiily, wltnl dom it rt^rrariit f tt rrrlaiuly appniirii tu buvA Ibtlli'. If niiy, iIpI)- 
uit« phTMolaj-irul 8i|.-tiiftcuiK<v mt fnt bm n iiwa'a cbaiirM for Itfv ai« miiipniml, tar 
tbiu« oau nnijily iml b«* incwtiirfd in tliia MUBitvr, Mvl If tiol. wby Blioabl vrn raa- 
tiuue tti n]>ply thu lunu "vital TspNclly" t» irbul i« iii n^allty notfalu]; but tbe 
rapiwity of llvo tniiikf 

In the ■■Ijumiu); twu labtfaof (lie vital i:H)»(iitli!B, calciiluti'd iK«anliiig totiiUielc'l 
tiMtbuit, II nrill Iw witknl tli»l lli«loK>ea<ii) both ex4!e«d tlit-piiut.aiularoiMiwBiniil 
•ak oilTwilvca bow tbL* n^rilt bai ranie about. I^t im lake ibc rxaiupio of ii lioy 
IM y<iM» of MEv jii«t nutrfliif! collrKo tinil taking a covrfK in the KviDiiaiiliim fur (tin 
II m tiiiia- ill llin iiti; Hti in iii>'asii[i>il lu tlwusiul isaBarir. |im««tilp> » u nll-<ti<vpln|>»d 
t'Iml, (■B'tJpil wiUi a goixlty layer of aillpucn limor', nud m vullruimdt^ abduiHsa. 
Al lliv «id uf lb>- nriadriniL- y>str mid after workiiis well iu (be i^yiiiuiiBiiiiii be U 
liN^mired nitniu ni»l it U fmiml tbul be ba> cTuwii lalW. wei){ba nMro, ia very (ou- 
ahhtrably Httouc'i 'ixd liiu a |[Tt4l<ir laiiic •,-a)>acily tbuii tbe ytiar biTfurf; but bU 
aillpow) ltuiM>ba*aliuMlri)tlrrly diu(>t>v:i[eil and Lb iib4loiuiiuiI wall* fauvs bniMiia 
luarnniaairular. <.'niMUM|UPDt1y. bisnbdo^ui'ulK-iiiclMarulaud; having, furtbDruKirg^ 
alHi inoteiiM-d thi> slrriie'b «f bis TM|iitutor>* maw Ira, baiaablctu contract biacbfM 
bt'ttfr. and tbe mnlt of lxi(b llie«e vhaii;;i-H will be tliat be ban Iral in vtlal rapii«ity, 
luiii'b lo bia chagrin, anditi-enaiDly would be moat diaheart«niiigfor hiiu tolw told 
Uiat bo liail priinn lalW, brarii-r, ami uttnagn at tlic oipnou' of bia vital rapnelty. 
On tbn ntbnr kaixl, a luaa at tO yvoM of oi^', tlie ajto wbm in mutt p»raiia« tlia 
atnoiacb obtaiaa lla Uaal lrliiuii>li iivor ili« clmt and iwrmiiiimily ratabliabaa Ita 
Mi]Wva*M7 ov«> ibo latlitr, H>fBriu )>riiuiiii«ii'«< i« ■-■•iirfninl, will. on Iwlng MaltatiT 
oacasurMl, t:ivE n (-natpr vitHl cajiiM'ily tbnii lie did at l)i«B^of Sat 30 \<mrt at mgB, 
wben, |H.'TbB|ii. bitpby>ii*.-U •-uiiditiouwuaal ila Uvtandbiacbancea for life crentoat. 

1 nbnnld. a >TitinKl>. pt»|H>u< ttiu (etm "ruiucity uf tbi- tfonk''in pUee uf ''vital 

ca|ia<>lly,"na aarvrlaiaed by tbe nctlioiU abovo d«talli>d. ItMavcrags vital rapnelly 
of tlui GO nftdau at tba OrkI MoaaBioiiMiiit, ■• aliawn by ibMa lablva. maa Sil'ii'^iabip 
OMiUmiDt«n.aiideiiillMapDiMiliuc«aiitnBiMil ilwaa3,(WSoabl«T«DUaal«Tft.uc67onbto 
l^entifllctan leaa. t^iiim tli« nnlhroponielric labtea au fat published by eilber Uitob- 
■Mirk. of Ambtml. <it Seavet. of Yale, do not inctodo tbe vital capacity, it ia, of 
eontmt, impcaalble to make a «oiiipatiaoii. 



I 



PAN-AUEBICAN MEDICAL CONGBESS. 
Table o/ vilat fapacilii-ii. 

A. 



1211 



I rn|in«-ity. 



Aj;*-^ 



FiTHi S^cjjnd (lain. Loaa. J Xo- 



TrM^tHb". e. K. 



\ 


.., IM 


II 


2 201 


*i„. 


... 1« 


K 


S,2U'. 




... 17 


:i 


11,307 


4 


... I« 


II 


J. 141 


Ti 


... i; 


r. 


:;, iHO 


4 


... lit 


•< 


;.. ".a 


7 


L» 


n 


:i. Til 


V 


111 


n 


^,7711 


» 


... i; 


II 


:i, :;7ii 


1». 


. . ig 


'J 


'i 7:i7 


11 


.... -ju 


I 


:i,llriL 


I: 


... i:i 


;i 


2,S4I 




... 17 


1 


:i, 187 


11 


... IS 


u 


■i.i\i\ 



r.t. 



c.e. 



e.e. 



IS. 



S4. 



Aro. 



I'ujMii'ii^-. 

Firnt Ni-i'i,ii4 
I rxiLniL- T- 1 inn I 
□Mlicin. Uriiiitji. 



2.74.-.' «.S4 I 

2.WJ9 ; ' 2.M 

2.1M I ; 5.S7 

a.oiu I s.?.". I 

2,'e% I I .7ii 

:i.6j« .50 

'.l.r,M , ; l.TKl 

•2.:iM I I 4. fit 

3,UUI1 ■ ' l.W 

2,7!0 . .(« ■ 

Ti.lUO I .m i-i 

ii.iiia I 3.U , 

3. 1 XT ' A^x-^dgL■H 

s, ai'. I I .wi- 



le 

17 

IH 

Ifl 

w 

•Jl 



I ft. lUDjr. 

IS : 



i» 
Il- 
ia 
111 

17 
17 
17 

IK 
IK 



1 



a.Hni 

3. 1'U . 

;i. !<7« I 

2. i-.2 
:i, 44H ' 

:;. r.iii 

2. iKit 

::,ui<> 



f. t. 
:i ^i»l 

:; w;; 

;i.-.i:i 
:i, ...vi 
:; 4111 

:i.7l;l 
2. 7U 
■J, KJH 



■ IhLll. (.4IKI. 



4 «7 



4.;u 



.17 

T.oii 



1 iia 
;i. r>i 



IK u :i,iiM :i.ii:!ii l.u; I 37 
I I 



1 lit Jl 4,l:ti i.ia s.M iS 



( , 

>.. 
K. 
1I-. 
15., 

II.. 
It.. 



Hi 
m 
IT 
lu 

IH 
17 
18 
\A 
19 
IB 
IT 
l« 
10 



2. liTII 
:i. 5711 

:i, iw 
:■■, Via 
■J. ^Ult 
:i. 2^ 

a. i7ii 

::. IIS-' 
:i.i;iK 

:<. n:*i 
:i. 2-.!H I 
2, rtT , 



■i.Biil 

3, Ml 
J.uTN 

.1 41)7 I 
-.>. MKI I 
2. KM 



2.« 



iHI 



.4.'p 
l.M 



i. U 



IR. 

IT., 
lit,. 
19.. 
■Jll.. 
21,. 

■a.. 



U.1MI) I ,iw 

2..'iK! 1 5. Ill ij Xl 



;i,7M 
:i.tnl> I 
:i.li;i I 

2.727 



XS3 
4.l» 



2. .M 24 



1, la 
1 



18 
11 
18 

111 

IS 
!.'■ 

IN 
17 
M 



4. y^i 

•J. TilL' 
3. 1121 
il,iil2 
:i, ;!fi7 
:i.iUI 
^. r*H7 
:i, liTH 
2. Ml 
2. 4.M 
:i.. ■.!■.', 



AviT»gI'« 



a.2.".2 



:i. u7" 
:i.'j24 
:i.iii:i 
::. i:pJ 
:i. 2711 
2.4:111 
2 Ml 
:i. 41<.". 
2, 7 111 

:■■'. 4'vi 
::. l.'ii I 





1 rii 


1.02 . 






2. .'■H 


.111 






1, ■!« 




:: .r. 


4 17 . 





.V2 I IW 



VITAL I.MIKX. 



Vm\eT tlin almvp iiiimn, KnHiiiHko linn iiitruilnciit tlii^ rutin ul' Imij; (':i|>:i<'tty iiinl 
weigjit iif lii'iiiriiy. TliiH iiiilux apiiciini tn inu to lio til' l'l>ll^ilI<'1':llll<' ]ili>'-i<>li>^- 
itiil signiGciince in riiiiDPi'tii)D witb the snbjci't of pliy-'ii'iil Irnitiiiiu iiinl 1 lir hlmly 
ii{ Hx ni'Ult.''. rrtim Ibo jib.vHiuluKictil, piiiut of viow tlii> iiitriKliirtion iiiin Mii'iiiilii- 
pliydciil triiiiiin)! nt' viiliiitUli: ami RiKliitlcillit iiulexi't. nilrli u^ tlii' ulmvi-, is :i-i iiiij< li 
ul' a ticci!.—<ity mill of im ^rciLt i[ii[iurtuiii:o iiuw im wan tht iiitriiiliii'Iiini iil' »-vi>;lits 
anil Tui^iLHiici-H into rhniiiatrj u liiiuilrcil ytsant ngo. 

Tliu urijiiiul luiJirrM nl' l>OTin'ny nro nut iiuccssilile ti) 111'-, lull 111'. F.iirliti-ki> st;iliB 
tb;il. l.ti^TiK'iiy tiiin IViinid tbiit iu ohildmi »f tlii' hdiiic :it!<' lliu liiii<;<'n|i:ii'ity is |iri'|iiii - 
tiunal to tlicir n-ci);bt, anil tbat if n cnrvo 1h roiiHti'iii'ti-il nl' Itiii;; i'a]iLii'il,t Mini 
wfi-^lit iu I'titii'ttun of Age, tbu ttru ciiri'i'S iirc |iiir:i1lt'l. Ili'iiii'iiy liiis t'lii'llii'i'iiini'i' 
fiHiTuI tbul the r;itio of lung oapacity Jiinl wuiijlit iif [hthchis "Ii" Ii:ivi' iiiiiliT:;iitif .1 
eoiirst) i>f dysteraritic pbysicul training i* nint'b liinln'r tbmi in |iitsi.iiji ivl.n li.ivi' I1.11I 

no nnvh traiiiiii};, from the fact, faiuitiar to na nil, llmt tlm tiLiitiini; "ii 111 w ImikI 

inmiuius the luii); cu|iarit}r, ouil un tlio iitlicr dii<iiiii>.b>.'ii, :it Iimsi in llu' lii't;iiitiiii<;. 
the weight liy raiisiiig n great ipiaiitity of tlm n-wi-rvu tin-siir (f";iti tn iliH:i]>]HMr. 

In the ai^oiuingtwo tabluit of vital imlici^a I have ii]>]>lii'd tlii^ iilll•'^i to tin- '*' 
c:iiIiTlH iindtr obHeTvatlon. It will li« imtiocd, howiiviT, tli:it lint 111 "iil •>( ."1" >•■>'■•■ 
gaincl, 31 have loat, and 3 have miuuim'd tlio siinii!. Tlio aviTiii-i' vilnl imivx 
obtained from both tables together at the flrat e\aminnliuu waivU.IHJ?^, ut thu soi.uud 
exualnKUan 1X0687, •aMttatiDg to an average loan of O.OOLj. 



1212 



PAN-.\HF:RIC&X HKDICAL COKOBBSA. 



Il will rurttiuriiMra liu iHiliretl tlint fiir Iho Dnt Ilnix. mi TariMVD tiAva ([iMiaIn] 
oar niiniMMlivis otiuly of ihi-iw Iwu InMu. Ilw lirnl Ulil« imuwiitti Ll|;Uvr «vi>r-l 
•Koa lliitii llti! •rcuml tal>l«. It wm fiKiiid. in olbur wonk. Uiut tbe 'J& nit«ta4 
kIkuw tiirroiw lu (oul utii-Dictli n-M 1)10 (it uiorv' ktlon, aiiil wtioarB always re|ir«- 
«i'iiUil lay Tnlili> K. wriu tullKr. boHVlM, funuifirr, unit hml ■> srralor nvvnitn Idd|{J 
rsfiiicity tlntn IIh) 25 wliom.' iuvri-Han lii Ii>tnl ■irvu|C(U Un>l Wvn i'uuui) In IhiI 
Inu tbtiii tCI> kilo^. ami wliA ntw nlwujm r«|>fo-'iil<-<l Uy TmIiIk X, In ibr luliln nfl 
llii- 1 ilnl tiiilitvH w« iiicel irttli lite finl ■■x(«[ini>ii to llii*. .^n ar«ra|*« lUHTPHm* in 
vhal laili't of n.OrilL' luny nul Iki vi>r}- ptri^at, liiil il i* ci^aiiily u|<|irpi'ialili'. hlkI | 
luiiii biivf a rtiiiin. Iiyi I flriiily lirlkvu iii iliii vnlMily unit lU ;; ui II i »»<-■■ ol' Uiib iioIoi. 
On tnfi'rrtiig; l>url> In llf liilitm nt llin lunu ru|i>*rini-s. iiiiil Ukiiie TaliU' II, il will ti«| 
lUitkM tliot. lirNidni llir AirtniEr liirtniMi lirlni* niiiallri' lliaii in 'I'lililo A, fi Olltflt 
lllr 23 lluVd ii-niiiiiiral l)i(< •iiiiio iiiiil 'A liiive :icliiall> Id*I ill liiui: nl|>ftt:ity. Sii inal-l 
|rr li«lr iliiliiMrlenili^ U iiiaj' \fp (■> malin- Mirlt rrvultx, llii< liiiililli; ibptii niil ia-l 
M IHitHiitiiiit ami Miliilar; as lliu ulitaiulu); or trunlntTy reHulta would bo gTUIiiy>Bg.| 

TabU of »il»l laJiow. 

Jt, 



i 


f.r-l 

-'*' Km 
llDD. 

Iri.ww t*^'*tf 
I* u P,ir;:i 

14 ■ , . on-.B 

IT 1 .Mil 

If a 1 .uUM 

IT a ' . in'.K 

15 a 1 .ilT>n 


4»iin<l 

iuk 
llnii. 


(Ixin. 


uucua 


So. 


Aer. 


r<iaiii 'naiii' tf..j^ 

lu. ."N ''•'" 

llun. TiMii. 


lAM. 


V' 


I„.l,, 




K ; il <ht:i n f.K a *K\ 
to i siua •nil (MHi 




ta -.. 




J::::"::;. 

4 

*. 


.■nil .. iHii:i 


u H iNwi .iiuii nui 


■•T<|) 


. .oilTO 

.iwm 

,. ,. .otiai 




ID It -onu .ii:tll .... mrtl 


j":::::::* 


i« a .<i;«i •<:■* 

11 » ,iM<l nUJ 
IT a uoui .VIM? 

la •! ,iMIt VUl 
W 1 1 .l»ll .•IMI 

It 1 .iirw 1 .iin:ii 

IT 1 1 n*^ 1 i"i-.l 
U a uKu .■■■ui 




rr 1 
IT s 

n f. 
U a 
1* t 


. VilU ' . OJI* . usc» 


• 


.oTnt iMU wit 


.•W 


.■Nil 








vis .<m» 

(ma .MK\ .«Nli 


•■N 


II 




..-3 


.fiin 


.MM 


AnncM 


1 


11 




.MM .«W .««l 


iHIH 




can 














_ 









n 

M 
l« 
11 

» 

It 
U 

u 
l« 
» 
II 

ta 


11 


U U^TU 11 IIOUJ 




"II 

,1)1= 
.nnl 
-MCa 

.(Ml 
.MM 
.MM 




» 

lU 

10 

lU 
M 

in 
II 
lf> 
m 
1* 


i 


mi 




a 1 Mui 1 .owl 
• 1 .OHM i .oota 
a 1 .uKB . 'Oni 
3 ' .Mm' .nana 

■J 1 .iMTA, .vta 
3 1 .MW .ihm: 
1 . uii,'. i>i;i 


.R*IQ 
,1I*«J 

.lOU 

.1IKU 


1 1 wm 






^ 1 MM 




H . ijaan 




■Jtl 

SI 

B 

U 

AWfagiH 


1 ' .nnx 
^ : .MIB 




1 1 ilTi.~> 




U 
i 
1 
J 


.<^ii 




!■ ■ 

• < ■ .. 


VTTi 




.MM 






» 
1 
■i 


1 ■■■! 


.1401 


If 


.•Mn .iriai 

•MM .iMU 


.noi 




u 


• 


.««ar 





uona ' a.d 

B«3i noNU ... 

MU . 
>IMO 

q«K« ... 

<m:i, 

•7111 

•as. 

0<'. 

»<. - 

•■. .■ 



1 hnVii (i>r ■oioi.- Ill 111' tiiiip |iiuil \irta ■lU>iiili«'l<-il niib llw jiiv^ruHi tlinl Iti^ i atlnt 
bnve iiiiiili' 111 l>ti-ulhl»i[ I'liitaiikty i'»iiHL-i)iiriitl)- tlii» lul ynai, in Hii|H-riiil«iiilliif; Iti4 
nHfirtliHii, HiH-i'lal limn uiia lalil on thi> liu(i<>italli« n( lirrilliiii]( cvi-rcis'ia ml ^linal 
wniuliUaiwl "iirrlat iiltMiliiia nmi ]>al<l l<i uaiufiiUy (.'■h'I'*' iiitiiiiiiit, anil I am 
Oriuly i<iMivin('i.'il tliat l(ii> iniilMi''iiaii ami ilrill wliir.li tin- I'nilela hava roKi'ivi^ Itfl 
llie K>ioiia«iiiiu wiia aa wi'll puloilutcil l<i (lev(<li>|> (Uuir laii|; i'a)Hti'>UHa a* any Ibul 
riMilii iMideviwil HH Tbiii Unit llio vital iudi-x is Uin' uiid Ii<il luislDadiiif;, Wtiai,! 
Umii, ta tlw cau*o of Uia iloiToaao in rltal lodoK t I believe it due U> the Mnag-BUliigl 



PAN-AMERICAN MEDICAL CONGRESS. 1213 

nniformii in wbiih raileli of tliJM whriul am ilonir up iiiiil wbii'h tliej itro riMi^Ml tn 

HFHr (lit> K^rsiiT parr 111' IliK ihiy. Althoii):)) tliiit ncriiih t >> iiiiilu u n'mtoiiiililn 

rxplaiialiiiii. tkiH tart rnu mil.v bi' i>Htiil>liHli«il bv llir i-lmly nf iitnl '-o(ii|i;iriHiiii wiili 
Ihr HtntiBtii'H of othiT iiiilituiy hcIkiuId. Wlii^ii, liDui-vi-r. uii ruiiipiiii' mir :ivi'r:ik;i- 
ol" vital hid''\ lit" tlifi '■<) cMiletM, iibtniiifil at tbi- w-.'iniil i-xiunin.-itiini, niiil wbii-h in 
ll.nCKT, anil liml that il JH above tb<'. avurajju iit' lUr TAI |itT n'lit V:i]i' h1ii<IiiiiI iiriil 
od1>' IiiIiiu' the av«ra):i- vitality n{ 1 ]:t Swciliuli ii:ivy ri'iTtiil-i i »;:i'il l!li, wr' biiM', 
at yl. ii'i ^reut laiiw li'i lirini; iiliirtiitHl. but :iri', nii tli<' •■•iilrary. vrry iiiiiili 

ft iira-^-il. It iH flirt lnTiiiimi obvimw tb;il any iiicTi-am' in wc-i^lil. fmiH iiii nnit- 

trr «hiit i-aiiw, iBiiy iu ;i IVw iiistaiiri's ciiilw iiiiisiiiiTiibli- biwiTiii!" iif llii- Vi. TJiin 
wKiilil make il a[i]ieiir ri'it^iiii tbiil a bi|;b Vi. wmibl In- in tnni'l ■'iim-.< ;i Hiiri> iiiilira- 
tiiiii iif ]iprri-i'l traiiiiiiK. ivlictbi'i' il Ih ikiIIitiI in cbiMivn, \miiiii>ii. "T iiii'ii. In a 
lailii' iiiiitiIxT iif Hclii'larM ilmnK a iiTtiiiTi uiiiiiiint cil' cMTiiix', tHpn ially aftiT liii' 
lir>l f>'»~ nK'iitbs, i bavi' iri'ijiiiMilly mitirnl iiiiili' innHiileriiblc iniTi'aM- in weight n» 
ailin-'t ri-siill lit" tilt- i-MTi'iiie, Htid. nH will In- itiitirttil 'in ri'fcrTiiiir l" Ibi' lalilfsi nl' 
Hrij;lil". ibis avprnjff iiii*rPa»i' in tbi- •■asmi tif tbr iMI iiitlftw ih tivcr ;( kibis, Kvi'ii 
n-litiillii>i: tbal :i iiiaii in (lerl'ci't tniiiiiiiK iniiHl liavc a liijib Vi.. ibi- objiM't is not 
iuvuriably allaiiieil in all niiwH. anil iiiiirK iillfn Ti>i[iiiri-K H)MM'ial alli'iitiim anil 
ttjitiins;. 

iiiir averu;:)! in higher than that |;iveii by l><*mi'iiy nf nii'tlimlii ally iraiiii'il Iri'ii'b 
mrn ;t£;<-tl 'i-J, anil nhicli in II.Diiiri. 
Si r>';;iirits I be mtruuiDt; uf tliiK inilfX, I>r. KMi'lmnki- hhvh: 

If we wen; i-iiinpi'lbil tii triiiiHlalu tbi'* lotlf \ into impiilar liinjina);'', wi' rnnlil not 
mm' ni'ai'er Ibi: truth than to snv thiit ii mriiiiA pnivi-r of rcHiHlanii' tturini: ib>' 
tniFr;;p[ii*ii'-i of tliHi-aw,' and that it exprcwii-H ud i^Kwmliiil ;iiitl I'nndanii'nlal I'linili 
li'iD ft>r ciiiliiranco iiudi't ellort. It iloiti not repri-Ki>nI tlii' mural iir norvc-ili tiamit' 
rlrmi-QtH of eitilnran<-r. but it rejirrwrntu a rbcmiiro-ilyuaniii' t'linipinienl iil'i'mliirani'i'. 
Ivininy 'iiiintfil liy Km^linakt)) ni:iki'H tbiit Hta'cnieiil : 

Ity t.ikini; yminj; (■yiutiantH nnd arrunfjini; thi>ni iii'iMirdin); In thtt iliMTfaxin;; \ :iliif 
of llivir lali'H nf Inng laparit.v and wvit;lit, wir have linen iilili' In iiHiiTlam [hut 
thireliy w<; liavi: made a rtuHniiiiatioli that cuireBponilii Hi'iiiibty tu llicir ih'^rei' of 
miblani e. 

in iir.octii'inir bj'"""*"''''" Kiiebniike has oliservW :i niarki'tl ri)rr™]miiil.>n'-i- 
WiTi'i'ii tli>' vital indi!i and ability in Hiirh exiTfiHi-H in ubii'b lh<- u'fi|;lil tif tlii< 
IniiIv ]•! I'ari'ii'il by tbc arnin nr Ilin>wn from the t;ri)itnil by ti>rt'ibh> rnntiailiinis nl' 

thr ninsi'K'H of the ti'iift. aitjiimiiinfc and vanltiiig. 'I'likiiif; pi-tp lirnbir i-ii|>it vliiiib- 

inj; til tin exam pit', be ftmnd lliat Ii tint of tliu 'Jii xtiub-nls I'xaniini'tl by bini •inilii 
not I'linib tbe Ti>p>' tinil that tbeii Vi. wan lielnw O.OlTHi lln- remaininii \ii'. w bi»e Vi. 
was tilmve O.iliTri, i-iiiilil all climb cxeept onti. 

Onin}! It> llie I'arl. that thi^pnbliealiim of Pr. KnebnHke'K jiaper wtm niin-b ili'ltiyid, 
I iTf^et Ibnt I 'Kua iinablu thin year to ttint his ciinelnHiiiiiH in this ilin-i'lioti, but ill in 
luiifb i^ I'trtiiin, nnmely. Ihiit for rndnruni'c Ibere Ih mtrhin); iiiiiri' eHM-utial tniiii ii 
physiolocieal point of vii-w tban a lari;<i I'luj; cuiHieitj . 

TIIK I-dU'I^U im>k.\. 

ThJ!! index ih the Vi. niiiltipliod by tbe total Hlrriif^h of tbe individual. Tin' aver 
a^i; power iiiilt!x of Ihe .'iO cnilctn lit tbe IliM uxaniinaiintt ntis i.'i;.:.>:i. timl tii ilie 
Hei.'imd HMuitiiiiation it had incrnaHod toXI.3M, mtikinu ti dilVereme nf t.i.'i betmeu 

■ All to wtt#-liiiT wi' niT entitltil toliilH utwrtinii nr li"t f^inTiem-i' ill mIIii'T <Im-i-h'iim;i- ilhiiTi lli.it HHt 

miTi. uyinimittirB tiiiint provo Uiiv ITiiii ooiiM 1k^ linin>:li[ intit litinLinuy ^iil gut ^4-lji iirMt--rxi.n]il 

]□£ ■>! inr-rtioiin iLiHtuiefl. CmaparitmiH luimt liit ui4li< at Ihi' ln-ilHlilr. I 1 f- m1 ^iI E'mhI i 

utAtn'*- n'Liich wuiilil nr>t bear nut thin aHAoniou. A L;i-rilL<-mjiii |irT>tiiiTirtbT lit |4ihh||».jI|. m ■'«< ■ Ih iii 
riJIldllian. Thim 1 mu^ilFiid naly tbrf^ Vfvkn tK^rnre Iim i1i-41|i. aiuL u-h<';<i' mIhI in^lrv uiln Ll.ll7^J, 
ilJHl of tjplioiil lerec in Uio aurpnuDKly ibort tiniu iif a ui'ck. 



PAN-AHGRTCAir HBDICAL C0HGSBS8. 

sxnminations. Looking oret tbe Amherst table of tbe 60 per cent Btndeiit 
nlatit3g from the data given there the power index we get o. power index of 
□r the average Amhenit atudent. 
le a<ijotnmg two tableH of tbe power indices.) 

Table A. 



*■«. 



ii> 

17 
1H 
17 

IS 

10 
IB 
17 
1« 
20 
li 
17 



Power Indei. 
L.C. 



Po ^ T. S. 



W. 



Fimt Seii.nd | 
vxHiiiins rmmtna' : <>ain. 
tluu. tluti. 



■il.M 

21. n 
■x.t\ 

31. 7:1 
SI, 04 
». s:i 
m.^ 
21,11 
K(.'J7 
it. XT' 
17,(17 



2*. 
30. 
2t. 

a. 

•J-2. 
38. 
3R. 
33. 
28. 
24 
S«. 

■ja, 

28 
3». 



71 



4.«7 . 
A. 47 
3.4t 

«.(n 

(.47 
4.CU 
7.13 
4.07 
S,B3 
ill5 
i.Sfl 
1.87 
B.33 
*.<J3 



Nn. 



15 

IB 

17 

18 

Ill 

■JO 

'21 

22 

2:1 

24 ... 

2il . 



Arb. 



Tf*. fflOJr, 



in 

20 

1» 
I' 

ID 
IB 
17 
17 
IJ 
IK 
18 



Power IdOvx. 



ro = T.S, 



W. 



Firal I SecoDil 

exumiDA-. eiomlDa 

tion. tion. 



18 



3D. AG 
27,1(1 
17. OS 
31.02 
2»,K 

VI. m 

28.77 
3S.70 

au.ii 

28.01 
18.48 



27.17 



44.03 

^40 

24. :is 

31.07 
2H.tl 

44.70 
33. M 
38,20 
M.OS 
29.33 
23.12 



31. S2 



GUn. 



10. 4S 
8.40 

3.IU 
2.4« 

3.73 

rii 

.50 

4. a 



«.M 



Tahle B. 



I!l 


11 


25,13 


10 


I) 


211 117 


10 





29,111 


17 


•1 


111.31 


10 


2 


:m. 10 


H 


2 


21,73 


IT 


:i 


27, :ii 


IH 


1 


2'.'. 35 


l« 





15.47 



i!l 
10 
17 
18 
IB 



31, Kf 

43. 00 
25. m 

■JK. 71; 

10. 27 



30.24 ■ 
2e.lH I 

30. ra 

2&.4I ' 

40. s:< 

20.-10 
40,21 
IT: IWl 
21,07 ' 
IH, <i:t 
40.02 
44.17 
37. OB 

31. 47 I 



11,11 I 1.1 

6,11 I 10 

10,30 ! 17 

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irp,7,'p m 

7, 70 . -20 

12, «> I 21 

3,31 I 22 

fpBll 23 

8,15 24 

Ii,02 25 

JH,1» I 

K. B4 AvprnKi-H 
1,V20 



18 i 

18 7 

10 .3 

to B 

l!l b 

15 5 

IH II 

17 B 

18 3 

m 4 

IB 7 



18 



33, «S 

27.10 
20.07 
15.31 
22. It 
21.15 
10, »0 
28,80 
27,80 
20,71 
27,04 



25,30 ; 



311. «1 


&IS 


34.70 


T.U 


32.01 


It.M 


51. B3 


MLS 


34.00 


11. «S 


31.04 


10. TB 


32.08 


lB.a( 


33. M 


S.01 


34.40 


7.7* 


27,11 


a.w 


30.34 


B.30 



35.14 



B.84 



STltKMlTli-lVrililir IMI>:X AM> VlTAI.-STRKNOTil-WEIUnT INDEX. 



e 0!iki' iif fiitiiri' ri'l'iTiMii'ii mid (-onipariHoii I n]>pend also the tnbles of theas 

T R 
I'i'S. TIiv ntrriiirth-«'uiKht Judex ia expressed by the formula ^r',andth« 

T R 

>-iigtb-wpiglitindoxb.v tbutof Vi. .1-' The results are recorded in tbe tablet. 



PAH-AHERICAN MEDICAL C0N0RES14. 

j!Imi)|IA'«(«j)kl iiirfiiy* anil HM-tlm/illimiflhl iiiJirtt, 
A. 



1215 



„ 




am. 




Ttnt nbmrraUon. 


Hun. 


Sd. 


(^^) 


(-^V) 


(^1 


(-^) 


iV) 


.6M0 


(^^) 


C^^^^) 


t 


M 


a.4M 

.4IU 


&« 


•■ftll' 


HO 


« 
la 




«::::;;:;; 


.M'l 


.7ini 


'I 


a.1 


.mi 








.MM 


<: 


.IMU 


t 


•■t 


.mi 








.MM 


T.T 


.Wis 




T.4 


.*m 




.SMO 






.MM 


0.1 


.I3M 


^b«>- 


«.* 


.4n> 




.UU 


» 




.««« 


«.( 


dllil 


■k.— 


S.» 


,ttu 




.*!» 






.uw 


9.1 


nn7 


■^.... 


f.B 


.»UI 




.MM 






.MIO 


7.4 


.IHIU 


IPk:....- 


i 


.MM 




.Mt 






.«» 


« 


.b'Ol 


jii 


«.! 


.4ai 




.WM 






-Mt 


7.« 


MM 


■Si . 


CI 

CI 


.SH9 
.IBM 
,2TW 




.«DM 






.«m 


t 


4IRI 


JV ■ < . . T ■ ' 




0.* 


■ UH 


T.» 


.!«» 


1* 


»t 


.•110 


lU 


,«aa 















1 , 


«« * 


MM 


H,& 


CSMO 


II 




CtlR 


C» 


CMM. 




».» 


MM 


K3 


.»44 






,«7I- 


CB 


.50 


J. 


«.a 


4in 


C« 


.UU 






.SSIV 




.tan 


1 


» 


lU* 


T 


.4tn 






.(OOA 


R.! 


.TMl 




8,7 


MM 


111 


.7WJ 






,aU5 




.BI41 


» . 


«.a 


4-J» 


CI 


.Men 






.IIM 




.ttat 


1 


>,v 


4M* 


B.« 


.•4K 






.■w 




.vat 




E.4 


WB 


as 


.tun 






.«ff 


4.* 


.Mtt 


• 


4.S 


u:« 


ci 


.um 






.4*11 




.UU 


J" 


0.; 


«?•• 


« 


.MM 


»....».. 




,3>ia 




.uta 


Ht 


e. a 


HMT 


9 


.*m 






.KM 




.4WB 


s 




MU 


U.* 
CI 


.MIS 
.NH 












Airmen 


4.4 


.HDL 


CB 


.»»l 




CI 


au 


C4 


.HM 

















IIKART lUTK. 

Thf nawicictlon ptDBMioiB rupnrd tilBnk* dlrMtt lliitt tli« kmrt rct« hIihuIi! Iju 
iMmriwiinl Iwforp niiil iiuii>rilial«ly tittft tluotiractli tcit*. Bxpcrii'iH-'i- linn hIhiwii 
] tli*l u «««k Wcrl IvalH rut Trry rnndiljr, «vaii on kIIkIiI I'Xfrtloii, nbiln a otroiiK 
|iitM> doTM nut tU> to. TIm> |itliirl]il« (« pi>il)U|M Iw"! IIlM>trnloil l>y titit follow iiis Itbto, 
tlilrtt WlunBD tit lui ■iflti'rr :!K jKun ot t^i; auil whu for itbiiul ■ ] our iloviitnl litiiit«lf 
[■H»l ti>inMli<iiI!4>tiitlj Id it^KlKiuBtlo trniiiing ; 



ot auHlnUlap. 



•■hnV^- 



fMlidnn 

W>i(hi 

rido IB .. ■•■ 



TMal alMBttlt . 



jBtr'- 



IB* 

I 

» 

W 

MB 

ai 

M 
M.k 

IBB 



Bll 



(M.T. 



tt 
S 
II 

uo 

no 
4a 
» 

BI.S 



Bn 



IlM.». 



m 
• 

u 

tto 
I» 

» 

BIS 

lai 



JBN.C 



m 
n 
u 

«• 

M 
At 
104 



MT 



UajrlL 



7) 

14 

13 

IBB 

» 

40 

n 
no 



Tit 



I 



In thU dUgnni w« n«ti«« n Biwly )Ie<t»«p in Itio nunlinr of hnatt IwAla, nut only 
wmeanU ilif Initial i>iiIm> ralv ;jiiit'i- 1), but alto iu IIm* nil* noutilml aflvr this 
at(iB|ftli twl li»il brati tvkvti. Tlita It a* It abuatil bo. 



1216 



PAS-AJIERICAN UBOICAL COSflRESS. 



TlwKiK, Iben, aodoiilrllhnl ■ •iruuiEaml viguiixipihTMiiUiHiear therranluof A;r*- 
loinBliml ■■xi-rrlni'. lull (hlR intiiill )■ only nttiiiitnl not mil; l>^ lliv iins>l'*i>t poMililu 
riiiu noil iilictilliin lixlMHilniin llin )init of llii- il|roi'ti>r nf tiirlirxi-rriM'. Ii>il II nhii , 
f(M|iiimi tliu ntuxt riiiMciuiill'iiin <xM>[i(>rnll<iii «ii llm iiiii uf itii' \-vftiit tiiLiiii; )tir 
e\oraliii). In Uii rKjHiii'iii.'o imiiltx like i1ipii(> atu pxcc|>ll<-tiiil ii> 'imirrliig in |i<ititt« 
tliai iiti' rxeri'iMvl in rlksniv. ami i> itlmiitltiuir rpi'vivhit; Inilivlijiuluixl ([ttlu* H|ierinl 
ouin luiil iiltmtioD. Tlie more nc iiluil> Ibu mtlijoit i>l' |tli}*lrnl iTnlniii); llio mtire 
oltHk llic I II lliv 111 Qui iliffpn-DfiMi anil itPiiMinul pcniliarilkA iif uinukiiHl l>*r>iiiHi iip[ar> 
OBt. 1'hntv< iirnu niinilnir'if '|iia!il)i". tii> Icmmal lliiiii lltiMelliat nucati weigh Mwl 
HiniwaTo, tlial uii' tii>lh iiii|>ouitj!»UIv ■■ wvll HH iiiidieaniiniki*. 

In tl;i' 'rO ra>]el« iiiiiIpt (ilwrrvftltmi llii> jiTfnlr«l ■lill'iTToiH'ni witli n^nnl Ui iIm 
]in<w TMlit Iiavi' liiwii iiUwrvri). Siiiiio (imirMl it (•"'■'•'f luUial ("■'■" "!•> ni Uialr , 
iwi-Mid oxamiiiiiliiin tl.jii IIk'.v iliil at Itiulr ttril kxaxiIiiiiIiihi, ddiI In «iiiim> avvn Ills i 
|iaUe nU' aflrr tiiLiit;; tliu xtn-'ij'lli tv*l4 wiu hifilu'i.tl 1h">>i-rniiili-taiiiiiiaiJiiiii tlian I 

II wn* III III!' lir-t t'ti'iiiiDiili<iti:iniic>ii>i< tiocliaii);cbiuitHkBii]iliic*-, ninliti MUlutlMni I 
niurlicil liii|>rov<'iii<-Tit Iiai 1<irci> rr^'orilnl. 

llj iinirtiriiij: I'crliiiTi fi>rui> •'rB).*mi"»i wn nn<lt>iitii 1 oiih- ntilii ImliHiiitiiili-nver 

vcdaiii luhntiK imt I'lilliiiiilt) hikW llm loiitml nl' I In- nill. Wi> iiuru !•• rnKiiUUi 
tli« wiirhliiifuf oiir liihU". tint* nlmi iiilliirin iii^ lln' lin«rl iiilf; l>iil II liutiiiiui im|"«- 
HtM« r«r alt}- •iiH>, nil iiialli-r liiiw wi>ll trninril In' inuy t-i', !■> ilo hU Iml iil ihrHv 
iiUvli);lll ItuilH wilbulll lit (lift Hiliiiri tiiiin ini'miHlii;; Inn hriiH liiln In Mimu n\l«iit, 
XnihMsl, •iiiit «f Iho lint uirocbi Af exi^iciMt of nny kind i*i t« liirtuaxi' (In- frei|ii'ii(<}' of < 
tkn lir«rl lirat. nil we nil kniiw, nii<] ^uiiwiiiKatl}' lu iiuii'keii llie lilotiil riimnl. Ht < 
i>ii«bjii> tivtir m-ii 9 pf>nHiuilmDi:ilin "ili|i"<ir Ibo " ptill" wilbnui noikiiis Ibn p*I*^ 
Nkin ai'nr llm workiiiK muinrlm Ihuhidki liili'iim-)}' inl itn<l oiit)jtn*to<l IiiokiiiB. uwla|f ' 

III tlir iiiciriwri) uiTiotiiit or kliKxl lliiil I* Ilowiiijg tialnnli,' lu tlin wutLliig inii*nlii>i, 
tint ult" III III* )iDri|i)iriy ^uiicntlly. n» innkiii); mi Kf^ni mi fflurt iii mi bIioii >> lime i 
II* tli(M) ntn-nj'tli totbi reqaiiv, <iii« Winj* lnlitMi rit:)il iilii'r llii' iitliif, wliliunl nnl 
ilririii;: tlii* iiilL-rvnl*. unit iiwii}); to tin- ]iii|-i- umimiil uf l>louil wktuh i* wnl li> 111* j 
|inii|ihtiry in oiiiw^iimicx it i«. |it<rlinp*, •|U>t>' ii»lntiil lu lliul tb" nrteiia) prmaiit* 
lull null lb" {irilui Tiili> iii)i<'k»t>. t Iiuvi' inyMilf ntil Invn utile, oniiiK ('> mi ul-ti*iit'* 
•>l 111'' |>nk|n-r iiintriimriit*. in ninkmi'i'iiraln Ami coiirliiiivr rxpi-rlioriil* lo ififjrtl '<• i 
ItliHxIprnuiiiic, iMitlbi* iii-i'iiiiipHiiyi>iiE*|>)i\i:i'iO'Ki'iiiii> woiilil iio I'nt ti> mwlair llif'iiiit- 

' Hirnof ■ li>ui>riiiKi>ri>liUHl pri-wiiro oll^i ibi*hlr<>iiL'lii tial iiflMUIoiu •i»u)<>ril)^nf j 
etuM. Niilliin^, hiiwrvcr, *b"Tt uf ui-<'iiiittK jitvnniiK^ t<viCa vill ilrriile Ibis iHii«t iiilnr' 
CHlitiiC |Hiiiil. iii'tli'l (ITuiiillitiob I, Tburapio 1. Kici«liiiila ? I •'•11111)1^11), INIil, in a rcrj 
jHiiiiBlnUini,' aoiitrs uf l>.i gin H menu, lui nundii^ivuly nbowti Ibnt lbi< MikhI pmiaum 
riMa aoiiMivrlul »u |ini)i>iiK<-<I iralkioK ami niDiiiiUin ■•limbtnu, nlM> Ibat lli<im (aati'l 
|u«ri-aMtil palw-rnl^ llntb IbcancbniiKcaln Ihncimiilalluii pioilni'nl by tliU furm oTJ 
■txcKni*!* jii-nlut foriuifn(> Unto, ovnn aflitr IIip (oOlnji nf (iitlaan bim iinlli- jvuuhhI nway,| 
wlili'ti lallnr point liaa nlau born nbitrvril l>y t Jitrntiipi (loo. oil.), (hir rcMitliH, li«1h| 
pvi>r, nrtinottfuinitaraliloialbiMoof (kfii<l. TbniuirvMirrbii'b wopinMint wnrv takmil 
Ininintlnlrly titl<« :t M-vvtv plVoct ntut inaili'. ami bol'i^r* anylbinj; 1th* n tliunniKb I 
■■•|>inl|j.>tlDii of vnioiin luiil nil«riul riri'Ulaliutt t'liiilil baii' tiikcn plni'i'. Tb« fiill Ir 
■rtrrial ptpxiiirn iii a mt-lilun <<iTi'r( miiy b« ilito lu tbi> fui-t tlmt nmii? MihuI ii aiiil- 
tlViily tliriiwn iiiiu tlio mini I bun in relarncil into ihc Idft ftiiluof IJi<' tiunrl> uitilalao 
III tli« ibi'iiBiiili't" ■•vyp'iiiitiuti uf Ibu hloKd, wbicb tiiiiHt biiv« n di-piowinjt r<ltVi.'l im I 
Ihi' b«irt ilavlf, itcrti'l'* libHiil'prminre Imtn n-ure niivili.- bonr* iidrt llio xiiiri, ma. [ 
ai-i|nunlly lunj; nllvr tli*' hiilani'n liclnirii vrtioni auil nitrrliil rlrriilnllim huil IxtitMl 
tiittofil. anil Ifav uMTrUi' tukin;] ]>liKr In Ibi' "pi'ii ulr, I In* IiIimkI ntU-r u liiw); milk i>T j 
clinili iriM ill n Rini'li linprovail r'ltidlllan, lllau Air na uxj-K^iialion la caiHymed, mA| 
iHinri' tbit tlar \o bbmil |>mMmr«. 

Til* lu'voinpaci.rini: iliui^nm <IV)nii<1 Tnblp VI.bnwcvoT.xliovr Ibal w^l-rtijinUtcil 
«X<nrW Ritoniilbrti* tlifl boait ao llial it may rMlat, aa It wcir, Ibo tuitileti tnviuluR 
«f uffort tu a ca«taiD mIcdI. 



PAK-AMKItlCAN MEDICAL C0MG81%SS. 
rAin-B VI. 



1217 





Ho. 


Ittf tni*" In ItfVft rki*"- 


S». 


I DcnvHi In brari r<l«— 




ItDrui* Ink' 
tuaEfr- 


Afl'r OOP 
■wnUi** 


l%<rar« tak 1 Anrrniu> 
Ins aier- iDimtti'ii 






M W 

i> n 

Id 110 
M ll« 
M . in 

•S' IM 


« 
71 


n 
m 

•2 


*. 

■ . 
10. 
11. 
11. 

iJ: 




im 
n 

ta 
n 


in 71 

XU > u 

IM := 
ito ' «: 

uu , -u 
iin iM 
un 1 Ml 


01 


m 










■no 






ISO 






104 




M 1 ya 

U { 101 




ra 






l(D 












«l u» 


w 


m 


M I 101 










A*MU» n(B af 








M 


IT 




» 


17 























I 



THE GU>|I|TI.IC-]I>AI. AITION OF Itl.OOI) KBRCH. 

IIt n'll.l.lAM .«. irARl'KK. M. II., 
ilHHMni lliinmu*nil»r t/ fMADdvi'ntJ BnMlB.jy. rHinrnlyo/ rv>i<uv'*>iiM. 

U L* vol) kwivB ilinl If we litjfwt liilo ilio vvlno of *oinn atiiiniil« th« bloiul arnini 
nf orrtBin i>ilirt *|wrlM i>r oiiliiuh xbrtv n^nlts » liii>i>in;!lr>biiiiiri.-i iiiiil iilUiniiiii- 
urla. Tho iti'Stf tirlifli) iif rMl •'i>i|inM'l*« tiiuttlao li««ii uliii-rvml iiiiiler lLi> iiiiircitdiifw 
Uy tniKing tlio IiIwmI acriiiii ivilli u ilrapof bluod rrvin iiiii>tli<<r Kjn^rti's, TliiB wiui 
lBTn>U|;i>l«->l Iwviit.v yxra >;;■> 1>y I.amluis * iti ii>tiitii>u (o lniialu>>i»ii. Morp 
mncnlli' il Ijho Uvn foiiml llul bluod pinatnii innleiul of Win); iiiiij|t))' nii itit-rl 
•iilutlan of Kloholinit. iilliilinilm, exlr>rtiv», mid inoiK'intr milti. wIiimid rhi«r rilllc- 
Uon* It wan In nrrvo a» a tiiettn* of cmivcyiug Ihf lil>inil i-orjiiiitrlm to 4tifr«nmt iinita 
of Ibn bixly, la rtolly it {•iilrrrfull)' orllvi' Aiiiil nnil pcrrontin n lininbar of troiidrr- 
fnl pbnncHiiniB. Il li»»I-i>mi ilHiirn (Imt In liireiaii>iiHi)l>>«a*ra iti whu'b Ihn bni'tcnn 
am A»l ■'•laBil In Ibn )>Ii»h1 Ihrtv mv m nnfiitioti lii lli» «uniiii (■ntnln inDdurln uf 
hw-lriU) ni*Mliiili*ai. Wbni ni>nins iniitv iiiit>'>rMiil, It biM l>i-on |i'>1iiU'lI utit by 
HvttAlt anil by llnitiu<'r: ati<l umuy (itlii-r« tliiittbp lilunil vvtiiiii urHiiiiiijiUrcfncUY« 
Ik onrtniu <|jae«>ii-ii i* bi|-bly iliwinit'livo l4> the Iiiu'lMia raiiniiiu UimeiliiiraaMi. Tbis 
p*enliar fnndi'in baa becti oallc<1 Ibo K^rmiriiliil or biicierit-iiliil aeiiun vl' blond 
wnM anil llucliiiei Ium ibown Ibiit il i>i pr<-l>i>l>ly ilnu (m ii KlubuJIti. Tboo obwrvn- 
lluna an vtity iiuportiiut niid inilioat« tbat M«-l<.'litiilk<>I)'H w«ll-kiiou-u Ihorry uf 
phaewjIoaU !■ IKit Ibc inily farlor in Ibu ileiitriliiliKM uf liiirli-riu bv Ibo bbnil. 
TIm* Ix't baa fiirtluir liwca extnlilixbiil ttmt iiitltiuil* Tiatiiiuity *iiK<'i>;itiliti> in (■■.■rt>tiii 
illaaiui-a I'MI Im itilinvalwMl l<> (li"*>'> iliiu'^uwii by Ibn Injcvtlini (■( Ibu Ulnnd Miriiin iif 
■nItiiiiUritlirrnaliiiitlly iminaBe ur rciHlcnil iiiiniDniiiiillli''Ull). Kurlbrriiiiiiv. <<>4<ii 
■fli>r lnrMlioa biM taken pIsiMi tlio iiijrclliici uf bltioil •«riim <if ImtuiitiH -4iiliiiul« 
will pmmiilly iis'iltaliH' tb» ]f-iiv>ii nml (vniiiiiiiti.' tk« iliwMuw. Tfaia vury iBijinrtHiit 
piwllral BM III liliHiil anriiin I* rvrtuiuly tbo mod pruiiiiHiu){ Iblii;; of iiio<I«ni ui«li- 
clMi aoil 111" bumliiR iinaallou of th« iliiy, f<>f now wo aio ablo to cure iofoetloua 
■IWM K .an'i u|i|.4i»htly Iti tlinway natiim i^irDa IhMn. Tbnnka taDdldrinj;, KHmwIo, 
CaolanI oiiJ Tirmil, ami lbs Klmiiwrnn, wo nni now abl<i to nirrt lelniiiii, piHMi* 
rSMate, WMldlpliltiDdsaail iiol fiw) iliat waean uul mmllfV thnronnwortbodlMaiw, 




•r*ntn)likiL inr ■!•• tl«l U-kurawiaA. tim. m>- *n M. 

f InaHK. tllaa., IMtllUKi-l>. IKM, 

lUrBtrKlil. f. lUki . Ikl. V. It. IIJ. ik M. 71, H. 1. 

8, Ex. 36 17 



■AUfl 



1218 



lUN-AMKBICAJI UZDIC&L CONGUCSH. 



Wllb lhii«c> ta^tat livCoro n*, tli» diwlritetltin ••( lilowl vnrpuaolM b]r a 1i»i«ikii unfiiin 
luw iisB'iiiird II jitvntvr imjivrtaiK'o. Ktt'culljr tlil" |>Ti>)>i>rt,v, wblrh Iiim liupii uallml 
tbaglotiiilklilnl icliwii ofliltHKl (wniiii. I>ii* boon nlmlieil lijr Biii>liiii'i'' uu>l by [Mii«iu- 
brlg.' TImi* ubaerr'-rs bavo irit|i»piMiib-ull) foiiml I but tliti iiiupvrl}' w;ib il(qltuj'«d 
by b««liii;f I" M tuft) I'. Tor aome- tiiiif^. iit by ilialyiiifi. Durbii<'rr>irlbiir<it«l<»(bat 
thU propL-rt}' is loal. by pmivivinK.tbr ncrnui for <u>imo limc< oiiUitlii Ibe bmly. All 
Ibcnr iilHHTViili-iuii, I<r|jctbnr Witli lUium nt Miir,it{liiii^» '. on tbi> ubtliiilkldnl iirllaD 
uf tlxi blooil MTniiii ill lUHi^Tciit pnlbuluKintl uliiti-n, Wviv iuuil<- ou tbv IloUl uf tbo 
luicrusi'ujiv. 
Tbe i'\|i«rittiuut>i pnmuDtMl in tbU puiwr rrere nioilo iia ftiUowa; 

Tbc blonil 9i-runi niiA obtuiiicil tMVCpt fnmi muti) by iiitl'oiliiL'tii);, uilb iiiilivplio 
' ]>ti«('iiiitioi>n, itit<i tliu blouil vciwul a curcdilly ntmliit.il limit K^'^'* r.uaaUt. liy (bin 
iiuuDK tbi> bliioil triin rt-eittvul iliroctly into ii HUrilUiriL i;ltiiw tliiAk. Frum man tlio 
blotiil nun (ibliiinoil ri'i>iu thu iimi atloi it bad bri'ii rArpriilly ■.-Imiiiiril nml v>:ub«d 
irilb untiMplb-K. Tbn blimil wiw Iliiiil vnl ntbln ill thii inc rbmt nuil uIIkwih] lorli>t, 
Tlic tK'iiT soriiiii w.it tb*>ii Injected vltbcr liilTiivi>iiuiiit)y ut «(ibrutnL)iMiiu)1y iuto 
Si|i>lhi*r »uiiii»I. by liiMiiisof u BUriliii-it l>iiTi-llv niiil ••iiiiiilu. Tbuiv wun no bui-tvriAl 
Lpdotuuiiiiatioii in Ibu bttiiithni; uf tli«i>oriini. TUv i>nWl iipuu ilie I'luiii! uf Ihu iiuiuul 

iiDo. iiiju'lctl win iltrl«niiiiii-il l>y nwuit n uf tbe Tliuuiii liii'UiiifytiMui't*r, tbo diliitinj{ 
tlnbl bfiiii; uauiilly u '.'.5 prrcciil aulutiun uf biubn-inuU' of puluib. Tbu VBitatiou 
bi>lwiH-ii iliirutviit tiiiiul* of ilin nofiiial bloijil Willi iliii iiiBtiiiiixi'iit i» vrrj- »IiKbt, 
birlt>K (in thr avi-rot;" unt iivpi' IJiKi.iMi nr :IIHM)0(>. Tlie iionnnl vroii Dlilnlni'd by 
euUUtliiK tbi> uoriKiarlvii twicn liclom Ui<' liijrrllim, Afli-r llm iiiji'i-llnii tin' vuiintii 
n«rv diikUi u« oflKii no |iuMibb>, nr a* ottrti un Kiriiiinl ■iei'i<uiiiry. An i>Bfb I'aiintiM); 
avvupM <'<iii*i<l«r.ib|i< tiiun. ilio <'oii<liiiiJir'if Ibu bluinl i.'oiiUl iivl Iw delvnninHl iia 
ofli'd IIB ilraimbli'. 't lir I'Diiiiliiii; anil ililiitiiit! "I'l'' ulvcuj* •lone by olio (•(■rHiii. 

Tbn experi incut H wuro miulo cliii-tly on do;;™ iirnl mbbilti, und llir bUxiil wnii 
obtiiliUHl fiiim tbt-ie iiniiiuiU by atirkinj; tlirir •Imvi'd mm. Of cuiirw< by luiitiipu- 
Uting tbi: ciir an uiiii'b, Ibii uumVicr of Iviiiiii'ytm luuil uf nui-i'tnily tstv Kri'nily, 
unil to icrMit in tli« Turiutlun bi-tnoim lUAi'n'iit obficrvntiniiii in tlio [inrniiil utiiti' ibat 
nnlvHB t1i<irr> bo u pit>n<mui-cd nnil i-i>ni>Iant vbnnKo In lli<-ir nniiilinr, ll ran cnit b» 
aaeribeil lu tbo liiji-i^tion, li> n fitir iii>>tiitin« ttvji* viiii« utnA, but it iriui r<mnil ibut 
Ibi.' bluurt unnbl iiiily bo •ibiuiunil with mivb ilinli-iilly uiid ilir immbrr i>f i-uipuiifira 
varied nu nittcli. nuniiBlly, Ttom tbi^ iKtmUtnrc uf lyinpb, tliitt >t illd tiitt Kii'tii ilMin* 
bin lu vonliuno ■•ipi.-riioVDtuliiiu iii Ibixlirix'tbiii. 

tkiMil'v Ibi' tinmen oil I ubBerviilii>u». it (wciihhI nlsu df^rnlilc lu examiiie into tlifl 
kliuU »f Inin'O'-ylc*. I'ur tliin piiri'""-* vover-gloM pccpiiialious •Kriv luadp, llxcd, 
unil iIk'H iiUiiii^il by i-iwin unit bnuiiiluxyliiii. Five biiiidtvd Icncucyta vrtav 

auiilcil »t nneb iilMfrvatlan niid divblcd into tbe followin); cliimcii: {ii) l.mipliii. 

yt«», (b) Ur^ BiwiioiiiU'lrar, {•■) iraiislliuiiul, \'ft ruiiiuiipbilL-i, mid \t] tuulttiiiKlisiir' 

ItUMAN i<«Hl!M IX tHKIH. 



^UmwcxjiMlinoiiia In wbb'b tli<- bmnnn wrnni v*» liiJtHitPil in Iiiri;» i|iianiiti<« 

Inlw lb<^ vrinH til di^o lb«ru wnii nti nppm-i^blc nltnntl'm tn llin ibcr xf lltt- ihiI 

or uliiLr bluiid nirpii-rtiti. Nultbct itbh tbeiv nil)' :illtir»tl<>n in Ibe projiortiou of 
llie iljiri'lrnt kilidH uf tvu<iH.'yl«s whiub nvre i'xnniiu«il lu Lxpoiiuii'iit II. 

/;iT>n^il»iiI / (rfuy; trrtv*!. .'■• poa'd*\.—VJ H. : n. U.V., ivRW.OOO; W. II, C , ir>,n00. 
ia,30! K. I(. t',. «,»«>,««: W. II. C.ai.OlHi. W-LM-.M.: Injcicd. pi-r ji'unlar vMu, 
1S3 r. V. bimiuii Miruin. IK lionr* <ibl. takrn ftuin mi IlnlinD, iij;piI 4^. wilU aiivuHaciii 
IM •Vinntuui* afUT iiiicctioD. :2.3i)l>.H.: It. D.C.. ti.mm.lKii. 4.»I>I*.M.; 1{.|I.4*„ 
T.l-Vi.r.)ti; W. H. C, fil.Ofin. S I'. H. : I(. H. V.. l.iW.mi; W. B. V.. ST.OOO. Nuct 
L-dny, lUA. M.: R. II. C, S,l«l>,000; W.ll. C, ■JS.WX}. 31'. M.: R. B.C.t. iMM.OUO. 



■(tlliiiiiif*WriQlib'iln*.«nllliilirn V«Tls, MSiiriiMi. tl. IMS. 
Mrob.dxUH^ lCip«r.nil'An*(. rulh., Itrtt, twi. VcL lU. 391. 
[ Hall. Kltu. Wuch.. Un. 7M. 




fAM-AUBUlCAS UBUICAL CONOKKSS. 



1219 



' Srprrim.'ml II (rfoji,- nil^til, t.' itw-nJ*).— a I'. M.: H. II, V.. 7,31)0.000; W. I(. C, 
ai.ow. :l im r. M.; a. l:, l'..7,lii.iKiUL \V. U. l„ 2('.Iak>. ;(.i5 l-, M.: Iiiii>i*tfl>l, prr 

iii^-iiUr v<-io, lM>i'. <-. Imiuiiti niTiuii. itatnu ua iii lUiii'riiiW'iil I: uu Hynininm. 1.4S: 
I. IL4?..7.Titli.Oi"i; W. II, (;.. 7.500. rt: H. B.C.T.aW/KJii; \V. II. L*.,7..10lt! iirliialnl 
rrmlv •lMtiti»tii::lit: ■llmuinurin. Vcxl ilar, 10 A. M.: It. U. C..l*.inw,(»0(l; W. It. 
C, AO.iMV. ;( I'. 11. : It. 11. <;.. 8.010,000: W. U. (:., W.oou. 

ttiKT^wnil ni\d<tv: tfinkt. ICi p»ilmU).~S 1'. \|.: K. II. C. J,4lll>.000: W. II. C. 
lO-mS). S.30r. JJ,: l£. H. f.*.37R.n00: W. ll.C.IViVi, 1.:kI: liikdrd, i..Tjii(!iil»r. 
I'H e. (. hionuii orriiiu. li liuun u1<l. TrDiii lifiillhv vmni}! niitii. iit!i-->l 2(1. r> I'. M.: It. 
ILC. I,31N\II00. &.(.-.: It. II. (;.. l,7<)ll.<KK'. \rvi (lay: 1(. II. C.. ^.li?^""". 

Nuniiu): l.fnit>lii)i'yin>. T pi>r-coiit; Intfic luuuuiiiHileatr, 1 piir«oiit; lmii*iLliHiiU, 
3.II|wrrml: iiiiilliiKinli-nr, Sl.n |i(-r-ce)it, 

Twi ■ti.l oui>-<|LiuiIrr lioui» iirtiT in|piti«i! of Ijn r. n. lllllilnti unnilTi. 1! I'. H. : 
L)'iii|iliri-'> lev ',■.,*• iii-ronii : liituii uiQiiUDUuU'iir. It put-«'iil ; IrmiiitioiiAl. I.j jkii- 
•wnii luiiitiuuvKNir, M {ici-ui^tit. 

In oDp vx^xirliiiviit (II) al till iiiinu rill wm iilMorvvil. Tbn nriiin did uot aliow »iijr 

lli>>iBi>ttlul*lillivTlii<-l. i:rii:iitaii<Ip>>r<>(i>lH'>ril>'<1rii)trB, Tll« biilui'vk wcitei-ilt lit tliis 
silirtkiiiniit »it<l lUi tiiirniHnitliu c<x»ia>iiatii>ii nhoK tlio iirtriifiiioiiB tiibiilnt lllleil willi 
gmiinlAT lualui, IliD iHiUinu uf lliu ovila Bliuiriiii: ittiliMiiki'Ily, while tho iiiii'lri sUll 
t«ki' l)ie plxiii. 111 oHev to •« if huiniui wniiii liuil auy l»%^<^ efl'uL'C od ilutpi, u 
UiHol iMitBurv uviwrioii'tit wiw iiiado in wliii-Ii I(iO c. v. of hmuui b<mi n lirallby 
yiiMlitt IBUII viito ■■•al, IiiMimliiitiily aflrr tl]i> tiijnrtiuli IbiTo iriin u nlittlit lourclii^f 
of pmuiun>, rollunnil liy <> niiirki.il rii>n ti> iiIjoiii tli<i iioriiui]. Tlin |)iili'«> iiUil r<w|>itft- 
Unit U't-ivi lit llr*! nlovriul tiiil nuuii in|iini<>il tu lluniUkl. 

Kroiii iliTsi' rx|H<riiiii>iiM It w»tilil M«iu lliiit bumiui wriiiu Lim iiHlbur » toxic i>r 
KhitiaUcldul iicltuu uftuu ilu||>*. 

IIL-KAX HKIIDM l.^ KAHBliB. 

lUpttimtMl I r laouill ntlftil).— I !>. U. : It. H. C, l,75D,<>00; W. B. C, ».£Ht. 3 P. 
M.: K. H. C, t.ii'ft.fHWI; W. H. C, 7.7M'. 3.11 to S.K: Iiij«"tMl, |H-r v<-iii. very 
•hiH'li 12 r. •', twriiiit I'lum luaii willi HuiMiiiMii. irl., 51, '.i.'lH V. M.: It. II, C. 
.VMI^'.UO". 11. :(■.•(•> 3. !.'>: Uc.o., iiOccltHV veiy hIuwIv. K.SO: riwiiiilegtc. 1: il.U.C, 
1,l)7l>,l>0[i. 1,1(1; (.'alHatuM. \.Hl: IHvd in roiivilliiioti. 

IUi^ti»r»l f |t.ir^r>il>''(l).— H 1*. it.: U. X. V.. A.8»).0(W, 5.»3: IV e. o., buiDM 
■MiiiB tWPtii>.roiir Iti'iir* ulili iii|>iillt', ^.iO: I'liiuidcgip. 5.J-: Uutiprulruuvuliiiuii. 
a.tS: IC. II, <'',.'/.tNMMNNI, 5,13: HiixI in <.>ut iiUioii. 

kiurrimml 11 llaiy<'ialMl\.—JMi:\\.: IMl, l'.. .'...M"."""- S.Kttii :i,l«: lujcolwd 

Fr JbsiiIt thiii, llt<,''. xirtim ti-ity-'-ishl lioiirx vlil. frimi yuntii* luoii. S.I6; K. It, 
, if.'XiA.tOI), .t.llt: IJii-d iif vitidiiir^ fiiiliiii': iiu lotmilHiriii. 

/:rj>iT<MrHi 174,-11 A. M.: U.lt.C, t.l7S.(NiU; W. It, I'.. U.'J3(). ll.3ii: K. It. (.'., 
l.<Wll.<Wi; W, B. U., I7.I1I1IX l:j.Z7 lol:{.3l: Iiijuulcd iniiidK..'> r. v. •wrniii ItvhIv- 
fmir tioiiri ..M: iii.iii irilh iiih-iiiimii. Vi.'JS: It. II. <-., :;, l.VMMMI; \V. It, C..U&,(lllO. 
;tJt,%: Ilx'il. Iinttt I'liiliiiv 1 II. V, ili>ilrii<U'il: iiu anliimii'tctii viol, 
XJjwHmru' III («H.(t>i> .i.-oV >'4jlt«i[ i — :t IV M.. IC. II. C. .^,.^M)I»: \V. It. C, 
■">. ;l.:ui I*. M.: It. It. C. f.,(»iKM«)ii: \V. ll. <:, 7,5iiO. 1,H): ljiji-<-t*><l aUmU pur 
liil ifiii, ric, •', iHTUiii Invlity-nix liiiiii'-> "Id, fri>iii yuiiii^ iiiiiii, 5 I'. M.: I(. It. C, 
,(nit, S.vr>: Iiijo-IoIIEd. •-. Flowly. 5..10: l(. II. C. 3..'i'll).l)IMK Domi ii.it •ocui 
NpxI diiv : Sui'itii-d vny nliA ; iiirw'iiiliiiiili! mur<tiu«iit»; <lid l»>t Mwm til Ituva 

i|ii- ' - -Sliiitr'Vii'piiiiliM; K. II. <'.,3.ii)0,<>on: killnl. 

/ I III t mfil-mwl:nl ntl>bil).— i I'.M.: It. II. C, 5.il(ll>.lli;i): \V. it. C, 

.<< L.M.: U, It. L'.,r;.27.'>.00l>. sr.M.: ln)<-itiMl slunly ih-i jimiiUr voln, 3 

o, Miruin liru <U)> <ild, rii>iii vuiiiig mall. 5 Oj: II. II. C, U.1{7.i.00i>. S.itt ti> u.l3: 

3*. (f. r>.a>; He n. S.;>S: U. It. (',, ■J.tmMO. 5.30; 4 •-. c. !^lunly. K.:i5: Sll|(lit 

rauriilunii : ri^^Miralioii l.-ihiiruil i K. 11. ('.. I.IM.nC*'; •ti«d. 
rriMnil l\ ir..M.ll).— A. M.; It. If. 



ti,ir::..i»<0: W. B. C, 10,Oi». Itai: 



/>*N-riMnil 
It. II. <'.,fl.l"i.'«t; W.ll, f.,4li.C«iO. IDA.M.; lujiutod pt-r jilKiiliir Trill, 3 r. r. 
■nriirii <vvm iliivH iilil, friiiu yiiiini' iiiiiii, n^iul III, in.:!i>: IIiiiiiIiIiik lupldly. lO.M: 
fiiri-ii.t-. Ivliii: oil tidiv IU..'.iI: It. II. ('.. :i.(r:,-.,i1t)n. KL.'.T: Coiiviihluti. 11: Illnl. 

/.'//>»>•>.■( .v.— H A, M. : It. II. C. IM1-"''I."(«. H.ai: (t, (1. C., (i^OC.iXOl W, It, <;., 
n.'lSti. It.nO III tl.X'i; lojuiilnl |irr jiiciiliir 10 e. n, bilmiiii Miniui, eij;lil (U)« (ilil, 
bPHhul lip tfl v. ' C. far u niiMiiriil. 1i.4r>; II. It. C, IF^Vi.OOO. '.O.IU: It. II. 0.. 

:i,-.7(i.imii. lorn); )t. ii r., 4.i.~<)i,i>oi)i w. it. c. lo.iiw. ni,s>ii suciit r.mviiU)i>». 

II: Iftril 111 roiiviiUtun; lienrt tietttini* ini upi-iiiu); I'tii-at; lislit vviittlcUi Uta- 
14-iidHl Willi dnrU I'li""!, «liivli iIkiwii It. II. C. t.7li),<K)U, 

tU,^iiuml \l if<i'itfriiM<li,~lJU.: U, It. r.. U.Kr..Oi>0: W. It. C. 5,0l«. la.SO 
I'.U.; It. U. C, l>,<AW,(Ml; W. U. C, V.JU'. L'.<.<S; l& c. v. biiuun wruui olnht daya 



1220 



PAS-ASIERICAK UEUICAL C0NGRKS8, 



Olil. IimWtI to fitt' C. for live mii>iit«H. 3.30: R. B. C, 4,1M)I).0CNI; W. R. i\. 3.000, 
UAO: K. It, r., ^l«l.OOO; W. B.U., 3.100. Sr K. B. C, 6.f25.00li: W. U. f.. !»,«00t 
4.30: H. 11. C, 5.^\i<Ki; W. H. C, 13,000. Xo nyniptoniH; rinimlito trixiwry. 

Kryiimr«l.\U.—y/i.lA.: K. It. C, T.WO.onO; W, U. C, 7,.on. ».*!; I(. II. C, 
7,0:'-'.,0(K>; W. II. <",. 7.500. 3 1*. M,; R. It. C. 7.l.^0.00«; \V. II. U,. S.Ullf, »,lili 
lti.JH>'lr<l :^ri ('. (-. tiuiiiuii ti«ni]ii f'tiiTilnj-s <iM. fruiii mini ntUi aiii>iiriHiii. t.l't: K. II. 
v.. «.r,l<i.(nn\: W. II. C, li.JWi. '•.:«): li, 1(. i,. il.li&i.WiO; W. II. I'.. I.SHd. « 1'. M.: 
I'rilie .■..ulBmirii ■nlbiiiiiin. OM: 11. (1. C (l.Sai.OOl); W, 11. C, 13.(K«. K; !(., 
6,4lH>.00«l: W., I.7W. SI.30: K. II. ('„ B.MO.OIIOj W. If. V., 7.T0II. IK, iniUuisht: R., 
S,IUW),O0O, Ni-xt<lny, HA. M,: I!., M'75.(iOO. 

Kiferimrxt A///.— IL'M : U. II. ('..8.0110,000: W. I(. C, ^0,000. l:J,:iO; It. B. (*.. 
ll,!)IH>,l>ll<i. 1 r. M. : W ri, <•. liiitiiun ncruiii. i-if*!! Ivi-n lioim nlil, r>u)ti*iillitieoiJ*lv. ( I'. 
M.: It. 11. C II,800.00U, 6 r. M.: R. It. C, i;.l!U),(MIO. Tiiiiiei' iit muI uf iiui^rlion 

«uiii<- i>Uu UB »t 3 I*. M. Noxtduy, llA. M.: U. U. C, 7,350,(K)U. 4P.M.: K. b. (.'., 

B.IKX'.OOU. 

FiDiii tliiw (■■>i rixpi-TiiiinnU it i» •■■•''ii tlint irhiHi Iiiiiiiiiu narain U hiji-ob^l iitonljr 
Into Hio vuliiAof iiililillia till- ri-d liliio-l I'lirpuRclntArn ilm(niyi.tl iiiplilly. aiiiklnjc fnioi 
S.O(niOO(> ur iS,<)0(>,«K1 li> 1.000,00(1, or I:i> oiicf liftli tlinir timTi)>i>r. Tliia •loi.tiurtloii 
nrcum nitliin i>ii«> lioiir frnm tli* tiiiio of i)ir< injfi'lioii iinil <Iiit1iii: tliln tlmv lti» 
nniiiiiil luiiully Liix HurvRtI cniiviilMunv. frM|iioutIy ■tyliii* in uxiv, I'MlHim HiiDotiiiiM 

u]ilii>»r— UKiintly it jiiirai >!<>;■ in. Tlii' piipiln nro<liliiti>il unil Ihciv in a t K r -'\<,],b- 

tJinliiii'K ji»t ut il.-iilh. 11h> rmpitntiioii in lit fli»l nlonred iiuil lb<-n li ■ ■ : lii-ii-d 
ODil tlie Hiiiiiinl iiiiiiiilty dim of r<«piratnry fnilurr. Wlirn llio injci]i,i>>ii li.u tuvn 
rngiiil iIiMifli i-mim «o in ii fovr mjnnl«. To tbnue «tuiv> tUurr is a ruptil ilt»trii>'tiua 
of th" Tril liluoil ror|>'i*''l<'-*. I"<' iioTor U' niii li nn ntimt iu> il' thi> iiijfx'ti'iii liiiil licu'll 
miiili' lUiwIj. Till' iiiiiiibi'r of curpiiirln* in tlintit (<\pi>rimi-iiU wi-in Dnvrr r«iliii'»l 
below uiic<-Uiilf llifir KoriJiiil imiii)i«r. In tli"™" liwi-H tUci-ixiviiiHiouiiiirr iifl«>ii ■liw'iii. 
T|jf iIUliirliuixH' of rr>|>imCi'-ii ;>iiil tlic oinpliiliiilmiNt are aldo prNwot lii>i(> but tbu 
ftiiiuiiil lUtM uf lurili.i'' fniliiiT. 

Rmyivcry hns iJtki-u pluce uftcr tbc iDJfi-ti'>o pi't vi'iii of 9 c. p. klowly, irtlh tbo 
«orp live tun rriliK-^il to oii«>-Iii>ir tlii-ir nunuiil, vhilo oii tli« i>(ber liaoil >trMlli biut 

Inki'K pliun iilli^i tbo tixliililtion of 3 r. c. uf iwr wvenil doyi old. tin.- iliuiriHtiou 

of r<iri>iiiwl«t l>«iiiK vory lltdi' ^ii-iil<>r in t1ii> latli'i •'oxi thuii in ttn- fornior, 

U'itli ■■ibi'iiliiuooiiii ln,loi'ti(iii>i lUi'Tf is It ii'ry t-Um >li*oT|>tinii niiil Ibn ilratrnrlliin 
in vfry "I'lfhtiiiiil ciiiiimi on tutv. Tlictv iikmio U'\\« kviuI''""'* n>»ii tlK'tmr ol'lili u. c 
ill thin Tiny. Till' );l<>biiliriil.il ^ii<tii>Li iiriimiiiiii mtiiiii vriti not Io«t uftor tlit>iMiiin lintl, 
liccu sluiidiiij; Bcvrii iliiyH. iu Kxpuritnml IX. In fact, it ■OKini'il more tuxit', prnli* 
M>l> uii nci'oiitil of sitiiio pulnrfni'tivi- prnnviM, iiltliiii]f>b there wiia nu tiitclFrijil mn- 
In mi Till I inn. Munipntity bMilinic uf blooil ni'I-iiiii Iu W V. ilucn not 'easpn tb» loxirir^ 
or dmtTDy tlio jilobnliridiil nctiuu. but wbi'n hviili'd for iionio minutm ihn bluoil 
•pnilit )iwl no •■flfirl. Thrrn ilon Qui Rpi^Di fa bx iiny ipMut chaDKr iu llio nntiib'Y <if 
Ii>ii4-o<'y[*o. Wlirn tbi-m In a jtmftt denttiictlon uf mil tilnnil mirpiui-'Iiii (hi>n< in ■}•» 
a paiirity of li-iioui'yii-a. Tlicre U a nliKliI nltviiili"ii In lli<* nnmbnr uf lytiipliniiyU« 
wbrn l.lnifi.ri'iii'i'l"* iirmlmlroyi'd. In Knprrinicnl tV iIimp wb« antljtbl iii(Tr«ciM> la 
the ■iiiinbtT of lyiii]'li<u'yii>t, wlillo Ihi'm \i it vuniwixindliif; <t«c<Tt-aiv In tlio (inwImC 
tif tlui mnltlani'lMir fanii. wbllo In VIJ ibvrv wiut no oltvratiuu. 

Krperlmful l}\ 

I Kinds I«inv7 '*•. j 



lymplmrytn,. 
t.itr^i Initii"*,,- 
Tmi»IU*,Hfll 

UulUHni'lnu 
KwllK'l-hll-' 



I Jdkt h*Tri,nk 
Konml. I ilf>«lLi 4umiM 
•ul.i Ri"! Ml. 

tWimt. fVr«M. 

Mluat 



1 

3 

■-J. I 
1 



10 1* n 



P*»-AUEB1CAM UEDICAL CONORESS. 



1221 



Tr>i>>l<l»iii>l 

Hallwuilnu- 



ltorni4l. 



■i 



/ta-owl. 

t» 
II 
1.1 
1 

U.9 



JlHlal^Mlli. 



IBS 

« 



AtliniqinurbniMpnuaTit arbrrllio ■ntirntiiiii-niu ii)]Rctiaii, liiitnnliirnwislubmari*. 
la Ui» ulhi-r own th»ra wa.« no (ipiinrtiiiiilj- of iiuiinmiD|[ for tlie triiiil. Tbe kid- 
liaf a iibuw K mrjr iimckii*! ktriirliinil i-hiiniti-; tlio wliiln rviml tutiuli- iokius flllRit 
wlili KranatHr iiiA<U>r umlvvvn tli<^ ii'i<-l'<l do tii>i tnki> i.tiii hIhIu. It U iil*i> liiii>r(Mt-j 
lug to iioi« tlul in ilKwii i<t|nirliiii.>iiK III irlilrli ■* ilmiriiclloii a( mil Muoil onrpu«cl« 
wiw l.ikiii); jitiiro, iWrii wwt ii iiM'iitiiir t^iipiiii,' uC lliuir rull« iii»l in tint lii-Id aii«' 
c«ii Mw niAiix txir|Ml>irIi>(i whirl) liavv lu*t llll^ir I'olor iiuil iiiv v<-i') iti'liNtiiii'T. In tlia 
Oxnl |ire|ur«liuiiii iii.vlo (or I'tiiiiliiiiug ttii! liMiri><\('t<n, Ibu Icil bluurl i'uifiaiii!lea 
dUJu vary jiuucly wttli i-imId wIkoi tltn;- niv Wini; ileilrnyuil. 

ICjtp>H*Mi>r .V/l'(iun«iii«->itnf/r»|/).-ll A.M.: I{. II. ('.. 12:>,noi>. 13 M: H. B.C., 
416.0III). 1 r. Jl : Ii\|r4 ii>i1 r> e. r. hiiiiiiiii Mtriiiii :! iluv* nl<l miWilJiniiMi'ly. 7 l*. M. : 
K. M r 2l¥MMil'. \1 ml<Iui([lil: K. It. ('.. :ML>.<kN). \«xl -liiy: K. K. C. ^IT.aXli 
«■■. -i.Tk. 

( .VP{f«r<»rftoff).— IIP. M: K, K. C. . ML'.OOO. 4 I'. M; K. Ik C. 43H.oaO. 
b\ >i I-" •-. liiiinixiMTnniSduynulil. l^niidnlRlit: K. II. r.,niO,l)i)i>. Novtilkv, 
II', M; 1(. 11. <-..;CM.iir»0 

Kiprrimrnt xyH,«»MitmtUtJ/r,tg).~\0^): K. II. (\, :AKi,i]OU. Il.»i>: A i'. c. bumali 
-I inwi«l tiina^ir. 7 r. M: «. H. r., ?iio.i«jo. 

(*n>iii tliU ll wimlil «iipitut lliitt biiKiiiii wriiiii !■»« a dialliiotly j^lwbulMitnl a«tloii 
iip»u tba (wriMMolo* ur a froi; wtim liij«i<Iotl tiiliciitaueoualf . 

DUU'tl Hillllfir iH KAKUIT^sl. 

AVfwivMf Jk'P//(U^Ann(iirafttU).— 13 U.: It. B.C.. S.3lS0.a(l»; W, R. C, T.OlM, 

3 !• " '■ H, r., l.'ITO.an; W. n. C. LWW. 3.JS; ac. •'..•ioic'* >«T(iiii i ilnyn iilil 
liii i-lty. Lt..'AI: Itii-iiMiitijt 'lowlr. ^..'u: NUzbt i-iMivnt'lon ami <lii'l. 

J . r AC/// (**./» ra*Ai().—rJ M.: K. It. I'., v.AUO.MHI; W. It.C. liV'rtl, l.W: 

I r. <i. •)«)('■ •MTiDii. 1 iljtv ulii, lii.lT'tnl ill iuKTiliir vrln. S.IO: I D. 0. 2.'M: I r. <■■ 'i.'iHi: 
H.\\a:.. 4.ii(Mmo; W i(.r.. IJ.iiri. -i.-jn- I'.-.u. a.i.1: R. It.C'.. «.BIW,0)>0; W.H.*'., 
0.300. H: Jr.c. XliT.: K. 11, C... l,'Nlil,>W; W. It. C.d.SDO. 3.?f>: fi i'. v. alitwly. 
:l.an:3i'.i-. 3JW: ninli aliclil (•.miiUtr.n. 

Kijitrimnl ,V/.V.— I.Sll; If. It. V... /■.(HMl.rtin: W.lt.C. 7.l»n X.if! 3 r.p. ■IjiwIt 
lii><'rt«l liiUi voiii. t'liMii iliif; fill tv--t|f lit hotiio N<l.'io -lAZ: K. K. C, SOOd.oiin; W. 

ac, 'i.fMNi. :i,i() 1.1:1. 13: »•-.•<. :i.r>: K. ii.c.,r<.iiH:i,<M>j; w,u.c.,i,mNi. ».ih u> i; 

.Ir r. 4<iri: It. ll.C.tJiUl.noil; W. Il.<r., »,<!(«. l.^ftl li< l.tO: 4 a. r. t.^fi: K. 11.1'., 

4.>«K0i«; W,ll.r.. I.m*. l.K.ii»:.W; :» r.r. rurt: H. H. v.. 5,OI3.C¥>n: \V.B.t'-. 
%Hi(l. tl: IMI.C!,, 4.i:.>MHM); W. KC. 1,170. l).l(Jt Conviilolun : n<«|>inillou lupiil. 
(LHt IMimI In raiuviiUloii. 

Kt\-nmnt .T.V.— :i I'. U. 1 It. II. C, 4.lrtU.I)<)l>: W. [1. C, 13.000. 'A.9i: H. It, (*.. 
4.4'V>,ilil)>: W. II. U., ri.O(i(), 4 III 4.4r.: K «. ••. IiiIkiIwI IiiI« v<iIu, vurv iiliiwl;. 'tVit 
knHBi MuviivM, 4.r>»; tt. lt,C,,r>,01i>,t)0(); W. It. T.. HMHN), &.\0: It. B.C.,4.Siiri,l)ili): 
W. 11 I '. ■! B,ir.ior..li); T.^,.'. fts-lfl: K. B. C. a,'.'on.OrtJ! W. H-C. 11.1)00. 
a,4.'>t..> «. 11.10 ; u. it.r.,ri,ion,()iii>: w. B.C., t.tiu. 11.27 : rtr.r, ti.iii>: u. 

M '■ -nr, W. II, C. r.'.niJO. N>xt tUy; K, it. C„ B.HtW.OlW-. W, It. I,'.. !>,37fi. 

N. 1; II, !■,, :,j-cti.f*K 

' . .' .ir,v/.-a V. ii.; It. B, c, r..7«o,«Kii w. », c, r..fifii), :i.:k): it. 11.0., 
CiUw.'NMi; VV. B. C, S,M», »r>;;: r, ,-, c, ili<«S M-rmn, t •■■«' 'iIil. »iitir<it.)iiH>ii>ly. 

4 P. U.: Ile.f1. 4.U: K.U.C.,il,uu.iMu. 4.I&: L»o.o.,mIk:ui'<ui4<uuhI). U:lt.Il.t'., 



■fa 




1222 



PAN-AiremfrAN UETHrAL CONfiREftS. 



B,SlJOi«»: W, B. C. ((.SOO. 6.»: R. B. C. fi.l(H>,0«in; W, II. r... !>,«». N«rt dty: 
U. li. C. 4.4AMIOO: W. It. r.. f.S'M): nlhiimiDiiriu mid liii-iiioKJoMniirlii. N'ctt iImv; 
B.lt.C..I.ITi),OUi: W. l<.<r..r!,lH«; uriiic on jntonlny. NvMiUy: It. It.C, l,UW,WW; 
W. II. C. crtdu. 

hifttimriil A.V//.— W.lft: R. It. P., C,((M).(iO0; W. B, C, l.SOft 13.80: R. U. C, 
e.KIO.HMI; \V. I), t'.. II.DDO. 3.OI1: liii<v:ti-<1 -JO r. c. (lu|{'H Mrnm. i lUya <>M, iiolirii- 
tiiticHWlj. a; K.U.C..7,.W<M"«": W . B.t:.. !,n»ti, 4: It, ll.f., 7,113.O0(i; W.II.t.'., 
10.(i().». fil>. M.: K. B.('.,«.»«i.W)t); W. B.C.C.aou. Ncxl.Uy: It. Ik C, 7.3itfi,nOO; 
W. H. <•.. 7.«f). 

i>jH-riHi.«i AA7//^lO.Sfi! R. n. C, )yiI<l.nO0; W. B. C, 3J00. 13 30: W. B. C. 
l>.ll)i>.<Mi; W. II. (:.. tt,(MO, IM: JiHmImI IA i.', r. t1u);'( sniiiin iiTilKtitEiii'viiialv Imt- 
rnil itnyHKliI). Z.I.".: It. II. C. fi.(6o.«iO; W. U.V , li>.>»"i. Ir H. II. I... li.tWKi.uoOs 
\V. H. C, 1N.0W. rl.l.^: K, II. C, S.3i)0,00(t; W. It. f.. iS,0UO. Xeyl .liii": K. It. C., 
6,14>.n(X>: \V. II. C. fl.IOO. 

IU,^mrmi .V.V/C.-J 1'. M.: R. B. C. 5,(130.000: W. B. C. 7.000. 3.S0: R. R. C, 
Il,.tao,POO; W. II. ('.. 7.i^^">. 1.15: 2^ r. c. Avg'^ ai^Tnin. 1 il«y i>l<1. -iiliriiUti^onMlT. 
»: R. H. r..r..K«.(»i: W. 11. v.. 7,H00. 18: R, It, V , S.AOO.CUi; W. II. v.. 7.*l)0. 
N(hit duy. C A. Jl.: IMl.C, '1, 100.000; W. ll.C,. 13.(100. 9 A. M.r K. It.C.S.iMO.IUUi 
W. II. v.. IIM""), l2iio.>ii: It, It. C..5,ll«i.W«>; W. It. V.. lO.iWO. 7 I'. M.: R. K. V., 
t>,0)ii:i,OU>: W. II. C, D,«KI. .Vpidluy: It. It. f,, .'.,5nil,0lK'i \V,lt.l',. 10,00", 

KipeHwril X.\r.—2:M>: II. It. C, 0.51)0.0(1(1; W, II. I'.. 1 1.00(1. .'il".: •J?K.C.<\o^t 
MtTlni.l .luvnM. viilx'iiliiiiroiiHlv. 9 WM. : ^.VU>.l)OII; W, It.C. O^'iOO. llfmldnliEKl: 
K.Il.C.,tf.M"l.i"l; W. K.L:.ii.-ir«, Ki-xI .I»):.7A,M.; H. ii.n.. tl.sao.ixw; w. ».(;., 
li;.iN)il. I:;ii<h.d: R. It. V.. .''..HOii.dOO; \V, tl.C. IIMKM). 7 I'. Jl. : K, ILC. S.KKi.mW; 
\V. U-C. !»,aOo. NeiliUy: M. It. C, 0.4rjU,l)0i>: W. ll.i;.. ll.Oiiii. 

Witli doic'a Kcriuii, iM wlib tbe »nim at mitn. 111* rnpitl liijortimi hy Uie ir«in 
eftutM dcatli In fi-n luliiiitu. ofl«i irllliaiit PoiivnliloD. Wlim Ihn hijActian i* niMl« 
slnwlf. bntrpvcr. laruti iinniiiiik's can bn iiixil, nniTnliiion* mid dralb comlDKon 
InlP. IT tli<iri< lUHy ttn itollri' reeaxttj, prea nlt«^ S3 e.Tf. ha* liM'ii hijnrli^l, o* in 
Ex|<ptiiBriit \ X. Th* loilr i>Aivt I* nnt iMitl^nl uotil Jofil lMifi»<> ili-nl)!. :iimI I> ddI 
iM );r<>nt hh in rul>1>iu iiiji>rti<<l nllL tIk tu<riiiii of muii. Ttii' (;l"''"l<'^d*l iiriii>ii In 
urit vrtj' |>iuu<>ii»riil. Ili« riirfiniHJrA i»'vrr V-iDj; roiliii-i-il tii-Iow (aar-liftha tltp i»>t- 
miil ■]ai>iil)(y, anil in HwrnU xxpptiinuuta iIiptf wu Hciucrly aay d<wlnitilti>ii. Tliu 
diintiiiiUiHi nm* tin grnittrr ill IliP fatal raaet lliaii iii tbum lunnitiatiiifi in rwov*!]:. 
Tlic vkitc IiIimhI mtpHKlni (li'l nut nndMRo any di-i-iili'd iiiiiiirrli'Bl i^tiiiitur. Ixil 
tUorr 11 Ha a lUnllnut all^Titlinti in llie proportion of Ibi' ililfi-rviil klticts. Tl»»f» was 
a iliiiliiii<t llu'inbui iif tlip Iyni|ilii>Fyt4» ur tlia yoiinsml ti>nr<ii'yfn« utiil n mrr*»|H>iMl- 
lug mliirlioii iif tlin niiilliiiiii^liui) fivnn, or tlir' i>l>lr<t( IrarovylM. Ily Ibo ft'ibrii* 
tiinDiiiiii ligi'rll<iu Ibori' vniiiii tiu<t •-»»> n iloi'tilM iliiniiiiilioii nf ml M<mh1 corjuiM'tiMi 
W fiior-lifllmUiHr iionii:il riniiiillty. anil at tlie aaiKu tiinu atbiiiiiiuiirin am) hii'Dio- 
^loliiniiTia I K\|ii>rliii<<iil \Xt). Hit* rAVrt •'amf mi IIm- day iiftrr Ibr iii)cuii«ii t 
r«]>rnl(«l tliis FV|wriini-iit finir tiiiii^H. in appnrmilly tlio niiiiwt way, and i-vi'ii naiiiz 
lnrKiiTi|iiuiilitii^H. Iiul iMirrr oliriitiiFil Himitur rcsolta; tlw only rmiilt of tb<> tit>xi-. 
tiou ill tli«u> i-uaca wa-i na allmmiiiiiriii. 

Tbn kidupy nf tbn rnliliii iiOt-riiMl with a>iramftai9ili)tt " ab<iwa<l»Hdmlfirii<'iiiral 
obaiijir, IwluK ■tiiiiUr to (Ii4t minUinic from llii> iri,ii>p(i>in of Hnriiin iif man. Imt nut 
so Miron-. 'I'l'it r. c. nf iIujc'h >ii-riiiii (inn <U.v (ilil traa iiu^H'trd ■nbcDIaDFoitHly iu » 
ftnig. ikiid iliK fi^ waa fuiiinl i\r.iA nit, biHirii liil^r. 

Ilti- ri-«iill« "f Injprfiii); (]<>]:'■ ■■■niin Into rabliiu arc diflfprent ftnm thoar obtAlnoil 
by nllii-ra ill iiiliinxilujf'aiwriiin L»i»l nliUr litanl. I.niidoi.i, 1Ii)i'Iii>>y. tini l>imn- 
tiprn all f-iuud Aui^* wruni very dnlrnciiv to tb« <iir|iiiH<Ini vl III* T»liliit> Mf 
nxiwriuii-nla weni tn waniiil Ih" I'lWictniiioa (but doii'i ai-riiiii in (•ixir, t>v( much 1<«a 
AOtliau Ibii ■■•rdiiioriitBn, ami tlintiiixMart-rlyatall ululxilirldal. Tliej-liilniliriilal 
BtUiMi ivrtHlnty mold not nxpUin tbe Inilcity, for In tli<- r.iiimriidiiifi in dr«lli Ibnr* 
wna no KTi'alcr ilratrticdaK of Hirpiiartm tbiui in Ibnar rniling in rtmvnrj. 



PAK-AHKRICAK MEDICAL COKGRF.SS. 



1223 



KXI-ERIHBNT XVtI. 



t y pl mg if 

IMS* MOMMSdMr 

TnM^dankl 

K»lnu^lli> 

Multlaiii'lMr 



XumiikL. 



U 
» 
t 

.a 

M 



■Tiiitnt 



ttr nu. 

n 

<.» 

s 

14. > 



eSFBIIlMEXT XIX. 



fT" 


XomaL 


■.4ft P.M. 


S.4tr.H. 




/Vrmt. 
IL« 
S.1 
4.4 

LI 

m.7 


AtmhI. 

na 

4.4 

71. d 


4 




■ 
I 




M 







KVI-KI(IM):XT XXI. 





N«ni»t. 


tl-.U. 




4 4>>ii at- 
t0r<iivnlit. 




JlH-IML 

S 
3 


fVrnof. 
» 
8 

3 
»4 


43 

1 
B 


a 

3 
1 

.4 


u.'s 


SO 







Fjperlmtol XXrt <l«nK mAMt).— 1.3(>; K. U.C..r>.7l3,Offi: W. tl. C. S.HnO. 5,30: 
K.II.1'., JjitOfOm-. \V. It.(:„»,ri0i>. K.m to ^.|l): i:j .-.r. tiorxo mtiiiii 3 iliivo old. 
injmtctl per iituiilM x-iii. ».ln lu H.m; 14 •■.<.. Rtuwiy. 8.9): H. Il.<:., 5.1ihS,<kni: 
W.a.(.'..3IJM». 8.«lto».«: lOr.r. SWioRIW.: ir. p. u. .fll'.M.: K. It.f...'..'"*''.""". 
W. II.C'..I*,3(1», H.IOlJiS.iO; 25c.e,«Io»K. 11.15: K. B. C, l.KHI.iKlO; W.iH;..«,lilM»l 
«,«>«». UUr,: K.B.I ^.Mll(l,^W>;\V.H.C,.^tii"l. 1S,30: K,».r.,l,i*rfi.iX)li;W.H.C,.'.'7 ,(•«»; 
U<i rmiliiinol albumin. Kt'xtila) : II. II. CT-.^IU**!*-: W. U. C. ll.MtKi. 

Kr^-riwryl A.Vr// — 5 I'.M.i It. H.t\.5.3ll«>,0<l0; W n. (■..11,375. .'.,;W: K. It. C. 
~.J)IU>lltL W. It. (.'.,. 'i.OOO. n.r>5l<il[.l!); IDc. c. homi'd umhui I>« hour* uM, iiij'vMil 
•low)) pKT jiiitiilnr vciD. (1.^0: lMI.('.,r>.I)i(i,iKN)i W, ll.(r..n.iNKi. (I.~^ M 0.17: 
tie.*: AUl: K. It. I',, I.TW,****; W. Lt. C. IL'.OIVi. ti.^'>: ^ «. o. 7 (u ;.»<>: I.^O. C. 
•lowly, 7.:il>: U tl.<:..1.(»«i,ikHi; W. II. C. 7.r«l). saO: R.It.<r..4.1'0i',"««i: W,B.C„ 
•JO.0HK H-St: \l.U.C., l.l'/i.l'Ki: W.ll.r., III.IIOO. tl.3D: R. ll,('..4,8lr>,INN1; W. II. 0.. 

w,ao %vxi^„y: i(, jt,c,.i.ia:..ftH); \v. ii.r..i's.ooo. 

rjj>rT(Hnl .\.\ (■/// Hurv raAMlj.-S P. M. : H. H. (:.,6.sni>,0(Vl: W. It. C..5. a*). 
S,aP: 1{. II <:„r..T<'<',(«): W. Il, (;.,l,««. &.«: Ii^lnrli'm, ■iiliviKniMvody Wo. «■. 
h'lrw^'x ■■tiKti -Jl limir- "M. W.ir.: H, |l.(\.:..«iO.0«J: W. Il.(r..ll.7«). 10.30: K.It.C. 
fi,Ka(l.tMi; W. II. C.fi.lOil. 1 .\. W, : It. II. C'.. \72i).llOO; W. It. C. 3.aW. NmI Ony. 

m A, M. i:. II. c.r.jioo.fiiKi: \v, ii.c, lo.im. 3i*, w,: r. B.c.,sj»o,ooo; w.u.v., 
h.no. 101'. it.: u. u. v..:..<.i\m': w, li. (;.,t*,'"«i. 

trprrimr^t \.\l.\ (ihmII MiW-i(>.— * 1'. M-: R. II. H., ^.fiWt.OOO: W. B.C., 7.800. 
I,;«l l(, II i'..4,!iii(>,lilKi; W, », C, lO.WO. ri.l.'>: Injrrtioii »nWut»woii»Iy 30 it. ■•. 
lior>r'< -irriiia 1 .In .il.l. «,i:. V. M, : R. R. C, l.»iMi».<iOO; VV. 11. (:.. ft.OWi. lOSO 
1'. M.: ». 11. <:., R.iilfl.WO: W. Il, C. it.230. NfXt.Uy. 1 A. Jl.; H. II. )!.,»,'*«".'«'! 
W. It. t',,(i.aa«. Ill A. M.: K. It. i\, ik.mo.i'oo: \v. n. c, R.ooft s v. a.-, r. u. <:., 

N),OI»; W. tl. ('..IMinij iiriiiD (Diitniueal nlhiiniin. 

riNii tluiM fixiHTiiDniitii II will iHt WWD ihdt f>«TnBi nf I1m> liorw lUM Rn UMtlo (•ffpd 
il|H>n ibIiIiIu. Alt li'iii I'll liiri-K •|tui)tlll» voin- iiij<yi|i-il ilirorlly iiiUiilMireiiunf Ui* 
nilibit (lAc. 0. ill una rm»tan<l t7 r.o, in aiinllicr), llieniiiubor of iyir|tiMelM wwv not 




1224 



PAK-AMERICAM MP.DICAI. COKQRESB. 



r«liit«fl ImlOH' fonr-nflli* tlinlr iioniist 'pinutlty. U i« |inibatil« lliat lh» (liliilioii 
caiiu'il |tnrl of cliU ri-i!ni>tloii. for hi t.li« miipnuii-ntn hi wliicli liurM> wiruiii vraa 
liytK'ivil d'lljcuiaiii'iiut'ly liit« r.il>l>ii>i itiure won iiu obuuge in Ibe niuuber of cor- 
pUBclca. Thure wu mi iilterutioii in Ihc iiiiinhcr of leiicoajrtM, but with intrnvniaiH 
InjM'tloiiH thorn wcr« fewrr Ifinpbtic.vlci, nhll« tlii> miiltliiiirlnar K-iicaiTjrtvti wen 
iucMaMd. Willi ■u1ic>itaD<!itiiii ii^octioiia thutir won no allomMoit In t-lie proportiiHL. 
A)hiiminnri*, Iml no binnojflnljiiiiirin v>'»jt pr'>diiiNH). 

t'<ii-i<rtM 0/ Ittroci/tf. hortr't 'trim tnjteud iito rabbit*. 
BXI'KItlMKNT XXTI 



1 


Kornul. 




I2J0A.1I. 


Kaxldaj. 




Pit ml. 
» 

I 
3 
1 

n 


nramJ. PVir«ni(. 
ISI IS 

Si 1 
1 .» 

w « 


11.1 
l.ft 
1 


rvrfnl, 
II 

4.3 




1. 1 

7t.S 



KcriituisyT xxvu 



XonnBl 
(t.WOi. 






>.»)p.u..'ssar.u. 

lOo. r.ln 
JoHcd. 



L) Dipluic^ tw ...... . 

1^1 111! liioliiiiiilirlMr, 

Trij..(ll..niLl 

' K-ot'iii1.lrllu 

UiihjnuiJpAT 



KB 



-!i.a 



« 
2.11 
2.* 
1.3 



jMtad. ' JnuHd. 



IVrtml. 
»«» 
1.S 

3.1 

.a 

07 



U 
I.G 

1 



U.t 



11.10. 



ttremi 
7 

l.S 
IB 



M).l 



KncI 



IWmM. 
•.I 
1 

t.l 
,1 



KXrxniMinET znx. 



jimpbacifiw 

am mOBMiBalMri 

•lultlwid...^.. 

■Isaphn* 



Itgraul. 



IVrwnt. 

m 

Lfl 
L7 
.7 

n 



lOF-U^ate.*. 

KlWutaDWiia. 
.Vteun aT 

ICT ll4tM*l>0- 



fWlMl 

HI 

3.1 
t,t 

fl.B 



10 A. U. nnl 
■lay. 



IV AMI. 



lOl'U HMt 

day. 



1 

3.1 
.« 

70 



M 
1 
1.1 



n.» 



(TAT'd mHI-M IN RAtlfllTlt. 

KirrriKiral A'-V.V ( '"■■fl' fnltifl.-3.30: R. B. f.. r.,li2r..H00. 4; R.ac.SJtBO^l 
W, », L',. 7, WW. l.I"> !".*■: Itiji-i'l-'il lOn. r. citl'K mTiim om- >liiV iilil, lirr JilKillar vohl. 
fi.lG: U.H.C., Ii,14l),tiUU. a.as: IMt. C.,A.1UI,IMX G: 11. II.C., ViUO.OiXI; n» Hyiui^ 
timut. 

tn tlilinniif«p(Tlm(-nt Inwhlrb lOcr, Ral'iiiMmni wn* lnj*rtw1 IntraTonoii*!; Into 
I nbbit, thvTH nBH iirithiT Utxir ur j;li>liuhrl(liil mtloii. 

aaxRr'^ srrwm ix cat». 

A:x|Hri<M«>>l .V.V.V">n<»(fa*-'i.-' •iil).-.3.3i>: K. R. V.. &,30(),(VI0i W. B. C, 30,000. 
4: N. It. C'., n.l£>,iWV. 4.U> t» 1. 10: lnltrt*il pet JiiciiUr v<<lii. Mu. c. nbnrpa MOiaM 
I <liiroltl. t.IS! K. «. (^.r-jUi^DOii; \\.U.C..tl.i&. 1.S5: K. ll.C. 4.60O.O00: W. 
U C, l:f,IKX>. bi R. II. C. C.'XU.UVi; W. B. C, 13,0U). Nu ■yiiiplaiiM; «kl kUlod. 



PAK-AMERICAX UF.DWAL COtHSUKBH. 



1225 



ft 






III this one sxperiincnl, in urbJoliSDc.^.of ahncii'ii blond aiM l]|J(>ebii| litlnlbevpio 
uf aral, Ihi-rx wim nrhhi-T toxir nr globulioidil ftolloii. 

To tMu pi In Into. IliiniununiiD ii^|e«t«d JiilATninnnf Mfablu wnj> fitiiuil uiiwttoxio 
■Bil iiMwt iMiUvi'ly ;;)ol>iiticl(UJ. WbMi InJiHrtnl rH|><ilIy it vuiiiies diBBtli in n fi'ir 
mlnulMi, Ibo noriMMrluMfallliijc l»oiii--liutf ur imi'-Iliint tlieir mormnl uuiiibrr. Whon 
lHj<<<'t<'il kluwly ilritlh (luuKw on aiiicli liiler, tbu iiiiintiHrof MirpusElnn niiikiiijc toouu- 
Bftli tlie aumial. In llifuo lult^r (■xiiorimuuta (b«r«wprc conviiUioiii', )>anil)*U,HiitI 
l^ut ilisliirliiuim of mpiratinii. kiiil Hniilly iloutb liy riiiplintory fillnn-; l>iil in tii« 
tommr, d<uth pomnoii ta|>i<lly hy canliiwi ftiliitunml wltliniit tlio Ui\ie nyiiipIuuiH, 

Wllh 'loKii, Iiiinima ■rtiiiu lis* nnitlivr ■ toxk «r xtolmlii-iibil itL-ti<>ii. 

With tTi>i[*, liiiiiian luiriiiu I* l>i>tb toiU ariil jtioliii livicl.il, 

Dng't (wrtiiii i* tuxir wtiiMi iiiJurU'il rtpi'lly liiUi vvin of rabliitn, A\1imi injet-ted 
•Iswiy ill MKiie iwiat ituiilh coniiw ou with nlij'lit iliiniiiiitioii uf ivd lilotid ciirpiuelra 
wkil« ill ntlirrv rooavHr; ooonni, emu iiller itH tiiiiitli wa 30 n. «. bu* W-vn injevti^wiUi 
bat •liglii teduaUon in tlic niimlwr uf <s>ipiiiHl«i. 

Witb rroir*. dag'» ■Arum j> ta\ic. 

Th^MTilla rritni tlin boTMt in nrlthnr tnxl'- or itl"'><il''^i<l*t tn nbltlto. 

Cal'n i>i<ruiii lii rab>>i(« U nclthiT (vxic or xlcilitiilrldnl. 

bbrtpV iwTUiii lii,)i>rt«"l inUi (lie C:it in iM)i(li«T tnxlii or i;lobalicidul. 

U«>t ilantruyM Imlb Ibe loxir uiid f;lul>tiiic<iilal octtnii or luiiiiua ■oruiii. 8tBudliii[ 
hi a tutol pIiuHi fut MBTsa diija diil ii»t caiiik llie ii-niii> l» luw it» Kltiliiilioidnl utiuii ; 
but tfce toxicity wna iiirre*«d. 

Tbriw WA* iin ri>n*laut allNnllfln In tlH> tminbnr of wblt* btoud cvrpntniM, but 
vbni tltn ivd RorpUKlcD ar* ileal ni.vfd Iboro I* iiIhii a |>aiinlty of li'tirur; Ii^. WIini 
tiuiiian iwntm nr d»)^« acrnm irii» IiufcIliI liil'i r.tlibiio, t,li« iiiiiiib<.-r •>( ])iiipbii«yt«» 
wu liini«aM>il wliilu lh« proparliuo uf iimliiiiiivti-iir li'iirocyli'* vein ileciminMl. 
flnfw'a BMnni injifi-li-il into rabliila Iiiuntaam tlir mtiliitiiicli^.-ir Icnuocytfl* aud 
ilimlniabii* Ibn lynipliuvytcH. 

>>«€» tli« faul tliat Ibo MmiBi tif Ibn diiff liij<'«(>'ii Into »bblla la t<ixlo vrllbiMit 
bavlnic any |{h>liallcl<UI i>ff»ct wid alan from llin fiint llmt liiiinnti M-riiin InJ'trtMl 
Ta]ktdl> into llinvalnaof rabbit* ranaonilnHlli In :i fxw iiiliiril<<M, licforn III" rnrpiiaotM 
ararvlocad bvUiwoiw-tliliillbvtr Di>riiiiil, wbiklbexluw liij»rtii<iiriiii«»t a mJiii'lioB 
loooo-linh tbcir Biirnal bef-uu iltmlb, it «i<t-iii<i piotmbid tbnt Ibi-tuxirily urtieraiii is 
■at ilrpMidciil iipiiM tta glokiilipidul arlimi iiud iiilbur i nil ivii Ivan multiplicity atyoi- 
•uMuiia aiilMtaai-iia ia tlie aFrata. Tb» fart Ihut bi'iiliog •Imii-oyi WIli Uio toxio auil 
XlBkullrlilal Kfiinn abavra tlicir albumiuoiio untiin-. Rachocr bua aUo fouud tbiit 
•illaUnic t)i« arriim wllb «at«r eniiaoa tho xlnbiilii^iUiil ai-tiou to dUappcar, bitt it 
rtitpiH'an «■• lbr> oililllloo of wHilum oblMbln. Uarnffl'i"'" ' '">* foiiiid tlint tn u 
■■tinWr i>f iliitMWM In inan, In wlm-b tb* bliiod In altrmil, (Imi iclnlmlicldal a^lioli (a 
gmily Inrmmeil, dMUoylaji; not niily tliv corpinb-liw of ntbcr api'vim, 1>ii[ iiIh» llior« 
•r bfiillhy men. Ua fnrtbrr f'Miifl tbiil Ui'i lM-iiiti;;l<>l>tii vuu ile-lrii.vnl and did tiiii 
ninuin 111 •oliitiou an wbon deilrtiyml by iitbrr nj-xiit". M« iiI>o noticed Ibat ih« 
glKbiiliriilal arlloii WM Krr«t*<*t iu lli<- I'liau ocintainiDi; tbi' Iriktil niMliitm I'htoiiil" In 

iluiiuii ID Ibr HirUBi. WbuD Ibln aalt wiih iuiimawsl. tbe gl»biiliridul pri>|i«tty wiut 
1— wnJ and thv patlKBt msivornd. 

Vlruai Uts ntpnrlnieiil'i dntallnl in tbU iMpnr It will bn iipnu thai lh(> («rpii*i-lna iif 
an uiiliual aTi> nnl diutroyml by itrery (■■ri-ljKU if-riiu). Tb« Nrniiii i>f iiinii ai»l r>f lb« 
•U-K. two flnb-oHliiiK unliiiaU. i« toxic aiwl i-lnbuliridal to (abblla, wblU Ibo itnriiiii 
uf lbi> cat b*>t iMi •ftttvt ii|>«ii Iba rabbit. Tlt« Mriiin «f niaii liiul tiu I'flM't ■i|ioii 
Ibi- iloK- 

InaliMlyliiit tboiiNbjiint •■riniMfiHl'iu It «a« foiiud by I'anutii and by PuiiUokauil 
utliara thai iibiw|i anrvni iii liiii;<- •|iiaiilltin> I* tt>\ir ■■> ibfjin. 

lAinb'ii Mi-iiiii I1.M Imxiii iiijonlvil into bniikau l>oliii;i> >iii(r«rinK froiu tiibnrriiioda 
wltluial any nnplatuMil rntiill. 



1226 



rAN-AMERICAK MEWCAL COKGKESR. 



Bnnimo * biu cl-uiUeil the toxicity of diffonml •cmmii, but my oli««rrB(ion» M*m 
tn Hbuw tbnt Ibo taxieilj* ja Rrwktcr thnii M^irrit Uv lilin. Iln fnnnd tlir loxiclly 
iunv.wn't niiimoonnly in a>'iit« luffictio'i^ ■Uhi'.-ihk*. 

Ill tliiui- <^ii>i>> iiliofixltwtli uci'iini'd frmii ilip i iijoctiiin ot i-itlirr liiiin.-iii or rnnlue 
bM'iiin. I ii^v-r foiiiiii u chk'kcii-r'tC I'lol. iu tbt' lieiiit. Tlio vcii(nt.'lmH'i>r<- itinteiidMl. 
tli« li'ft Willi lliiiil bluod. wliil« tl'«> ri^lit, a(\i!ii ■■uiiUtiai'il n *i>(l> nuu-Mlbnmnt, r«y 
dikrk ulot, muoli ua U formod jiut iu tli« ugouic purioil. 



niscirsfiioK. 

I>r. Hoiwit. I Imrc bnoii Kwatlv intfnwteil in Dr. Cnrter'n jMipw, but, nnfnr 
Bitlfrly for tliiii <Iliti'[ii»i<iii. Iinv.- not u-orknl in ilii* >|p|iarlin>mt. nf i>liT>-loI<iKf . 1 an 
Itlu'l In ••ay, lioWf vi-r, Ihtil wn li.ivc n iii<-inlior pnweiit who li>* norki'il nitrnttlvsly 
111 llir rnhil**'! Ilolil "( llio |[f<riiiii-)<lnl )iri>i">ril<-u of lilooil niiit Huriiiii, anil i^i. lli-))-r 
liiui kiiiilly mil jiH II I All t<> oiinii lliv (liAi-iiiwUiii. 

I>T, it. (f. Itfj-t-i, U. K, N'tT)', il 141? II PHI II g IJr, Cartor'n papt^Tun ilifl f;1obiilioi<l«] 
nrlion or (^vrlnin lilooi] norniiui wlicn iii,|i.-ctoil iuto dillVtrpiit diiIiiiuIh, lutkHl 
wlii-tli«r Ik. (!un.>'i' Uiul takon into i^Uhik riinniiln ration l.hn rolntlvn iiriiportton of 
InnonoyUi* tn tito md iil«liiil<u>, u* wHl n* l.b« iiliwilutK iiiiniliiir|<n>*ciit o( rofh, tor. 
InnaiiiiK'li iM luiy nrror irmupin^ Inin i1i« coiiiit >if tlio rwl in eit»f at lui Surr««M iif 
t]i« l«urur,vt«it wmilil ]^i'i> risti Ut friim litiux iiinltiplivil by an niiiiiy liiti<'siiii I unliifi 
milliiiii^teT ia ri)iil;iitivil in >'• lid-rn of liluotl. l)i. Caiter iiliit«il tliat wbilr tUn )>a> 
eorytauof tlio ilifl'tirt'iil i.-laiHoi cliani^iiil in nntntiur ■nd in tlinir rcUtioiw lo tliMn- 
■elvw, tbrir rrUtiri' |iii>|inrliui] Iu Ilio ii>il i;lo1>uUa liiul not ehuniioil, niul thninik- 
out III* rxpuTiiiiPiiln rciiiuioiMl tbo Kamn. Dr. Ileyor wnR inttlitflnl. 

It. Mnrnlliiiii ol-Jcctml to ilin Iitui "cli-liiihnliliil," tl mnuM ii|>pnar iliui. I>r. 
t'ar1ci-'» iv«iiltii iiilclil li" vi-vy wi-ll i-jiiiUUii-.l na iliic |iiii i.ly l-i |>liy>iital miil paitlj 
to |iliys)oIi)i-ii.';il iir'>r'i>«M>ii. II in wrlt-kiiiiii ii tlinl tUo isotciiiir tWdlcinil <■( tlii' ml 
cnrjHisi'tc of (li« unimiil in ililTKrviit rniiii tbiit of llii' Tuil i^cll iu niiotlifr aiiiinnl. 
Wlii-ii, tliricfiire. till' ivtitlii "f Pile iitiiiiliil iK iti,!*!-!''!! iiiln tlin Monil nf aiinllii-r 1Ih> 
pliyhlml piiiilllIiTliiiii in ovRrlhrnwD jind rfd corpiinrW di«int'>|[intp. TliU miiili. 
tlior(>r<'ti', U :i phyolrnl nur. On llin othnr liniiil. tlint Horiim I'f ■»>ii(> iiiiloiiiU wbon 
InJi^i'I'd '■■'» tb»M> tit niiolbi-r iiiioclni. Rivm t>ixl« on«rbi im'tii> to bi> lUUnitcly 
pniTeil >>; tbv ■•aitllfc of tli>< i>)t|i«rliiii>t)U <|p«Rril<rd by |ir. l.'nrU-r. Ur. MncaJluin 
took i-tcvptinii III till- vivw I'll line ill li^il liy l>r. Ik-yvr, Uial ob«crviill»iin Ivud to hImw 
Iblll rvil rdllH <irii;iunte ]>arlly rnmi (li« irbito ooT^illtivlfH. If llit- tviiilta nf «xp<Tl- 
mciiM i>r tbo liiat Itvpyi'Hm nbow iiiiylliiutt iit all, il. if, Ibiil vthilr rHln iwvfir givtt 
rtrlK')! to 111" red crlla unil, fiom tlio i>ui)<ryiilaxir.il iiuiiit ot view, l.bo vrliilii i>«tla 
flrVPT ti'Ltl oiljtiii t» llin ml. 

Dr. ItoyiT, niiiliiiulni! ibi> •IIhtiiv.Ioii In nniiiN'tiT to Prof. Mai>al1iim,alnl4Hl lliattha 
lit«Illtor•^ iriibin llii' pi^rlod "(iilvil iibouvd igiiiamilly. wttliniit il'inl'l. tlinttlirrv ai« 
iMlrai'ytMi lliat ■btiiiui' iiitti rrd rorimxlm. llHnl^l,^ . ibov lli»l cmiie rnnii tlic bonr 
(namm iitid ii piirt of lliixw I'oiiiiTif; iroiii tli« iiili-i-o; Ilimi- •vxiiiiis lYmin tli-< aplrrn 
arc lrsii>ronii(>d iat« toil partly vilhiii llin i>pln«ii ltM>1f, jiallly ultrt iiutrrllijt Ibi' 
Itlooil miTrlit. 

Dr. W. S. CiiHomaid: 

In rv^ily In l>r. llcyer'i '[tiMitinii I irimlil miy tliai ttivre wnn nn allernlt<>n in the 
|ini]iarlioii of wliilv anil rwd 1iloo>l mqiiiHi'I», Witli Ui>r*i''a iwnim In ralitiila tbam 
WW ararenly luiy nllenlion in Ibo nHmlirr of rorpiini?!''!' ot ntlber Iciuil, lint llMfti 
WM n ilUtinet rhanRf* in tbc prnporlioii of l4^nl<ncytc■. With ilnjc'a ■rniiii In mlititU 
Ibnro wni wnr«»ly any 4iiitin«li«n nt cor|tniirli'a, but wben tlirm waa a ctlaUnotloti 
ImiIi klnilamm nirnnti-i) an tbal I Lcrcu,;!!!!' linnet- tn I In' pTD|i«rli<ib of rvd ftiiil whltn 



■TiMBI. Tulltll luUrniit. llrU-CoilIt-. Viil. II, I), m. 




rAJf-AMERICAN IfEDICAL f!OK0KESS. 



1227 



_rantii>H«M, In tbiww tkort- ww n rligU'ai-t atUmliiMi at tlie prnportlon of UiedlOVr- 

iil ktoilxiif k'li-'m'yics. IhiDinii wiMini iri t;il>l>l(ii innHcil inplil i)iatrii<-lii>ii of liulh 

tiiiila "f i'iH]iiirH'ltti llii>n> lH<iiig no nltvruliim in tlix ]>i»jii>itliin nr wliitu -tinl leil 

urpitM'Ira. lldrt- llirn- wd«np]>*raiiMyikii altcmlioii in Ibu |>i>>|iorUuaof '(HicooyMi. 

ir|i]jr to I>r, Mnciilliiiii'a rMniirki I uoulil nny Ibiil Ibu term ''KlolinllrJilnl" 

I i!<nMl tvriii. It Is uHwl both l>y tliiTvoiliers Bin) UitclinRt, nn>l, iw llunblier 

nark*, it » « proiwrty or the "tialf-livmK miruni " ami nol » pliynirnl ptopertf. 

■iiily lluiMiriHiai'i'iitte nrvatly c»iic(trii(ul in m(<talMilii>in. Tlii>iii In » iU<alrii«- 

lUnn nf lii>th ml nml wbiti> (i<>f|>iiiirlpii, nml iiimIit llx' iiiiM'TaArri|ir> llin rhiMif^m of 

|l>«rrot>iiMlii uni iu>pn jii tlin will to rnr|iii»rliu wtirii rxiinHml li> ri*rriiiii folI^iJ•tl >«mu>li. 

I'ar lliAii^ niMniM itapetiiii ttnifglobiilioliliil" liiv<t<l«<ti'ribuit tJienutioit iil'tlioai-riiin. 



1" 



THE EFFKCT OV l.KWIONS OK CKKTAIf* I'AKTi* UK THK BRAIS (.'TON 
Tin: HKAT KKOCKWSHM. 

ItfKltW.lKHT. I{Rir'iii:itT. u i>., 
PnyVM<r»/ r*iH>i4^, I'uirfiiiiTi /ViuivlntHiA 

In im ■rtlMi' nn tliMmoKrnio c«(il«ni, ivitd bt-foro the tut myelin t; of Ibu AmPTJc-Hti 

My v{ rb}Bi<>lii|ii4t> BBd >in(nM'ijiicii(lv piililialiol in thp I'uirfmity MpfHrnl 

■puiiH> I'lir Muri'li, I l>n<-ily iwviitwrit llm KipiTiiiiPntat wmk lliiis fttr )»i)itUIii'it 

lili'b •rriniMi li> Iii-iir •!lii;i-tljr tiimii tin- in-n'i> riTutrni njii-i'trii-iilly nHirrrm-il in Ibw 

uiliirliuci ii( hi>iit. mill rr^Hirlnl a iinw uiirti-anf liivpRtixnlii'iii, *l«in iiij; iIik Iix-hIIixi 

■•r llic III) 11X11*1 ir ItinrinoifPiilr ndiili'm. Ttm I'blnf ronrtiinkinii artlml iil w^fl< |l) 

IJinC tlir niili'liialk llMirtiKij^iilf: ri>«l«<rH nre tni'.-itnl in l)i" ■|>iiifil rnnUCJj tlint Ihn 

risrlnlo Btiil nylviiui rttit<'ni it! ■Ill' r(HiF\ rpTrl-ri iirr Th^Ttno-iMliiliilory: (3) TUHt 

tlu* r«ii(Ul« nitrlri uihI iiinliiltii <i1ilmif{iiln nKiUiii IbKrmn'Hi'rrkTnlor '«tit<-n>: (1) 

bat no ipMiillr bunt moloni probitbly iixUt to l>io uptk Ibniitraj ; 1^} tlml utirtRlllii 

bpTuioUivIn rnntm, I. «., muifis bitrliiH u (uiiniunn i^oDlml nvrT h<i>t |iiiHlnotiali 

.ml brst illmliiallitii, ilo Biit«xUt. 

A nnnilwr nt finiiil* in nxinfiTiinii vrilb IhnI Ktiidy i>livimiHly n^mlcil ftirtli^riiiVM- 

tlotli*"' *■■ ''*r i (lota ■■If. till' mull lilting ilHlnrK-tili nl' U'liUc IIH iT|>|n»i-i| li> lliiiMi 

Hf all iillMT rnmiit iiiv>iiiit;»i'>n> r^-Ulivr to tlif (iltyniul'iity i>r lli"- lirnlii • ortex in 

eaiUiHTtioii wHb iU<> Ui-at initi'liiuiiim; (liniuai-Ttion of OtI Hint tiifiiry nf (li» wbll« 

■■■■Iti-f iiii(imlliiti-ly In fn-nt >if III" •itiiitnli- rinrlnl U fnlTuu'i'il 1>> n iiinrki-it tUk of 

I'THtun-i tbn riMilllrliii^ l>i<lipr» r<'l:ar>lliit! tli" c\l*l«iiici> <>f lii-:i( i-riiii<ni ill IIm> 

llialniiii; tin- rffe'-i* of liijiltira of 111" r"ri>lirnl iMMtiitirlra i||h>ii tlu' hvM pm- 

1 tlix vfl'iTtaol' liijtiiiiwol llir jiiniH ii|><»i tbv lifsl jinx'i'KtM; tbi^piri><'lurpyn.>1i« 

antipytiiiir ilrii)^ iijini) Ihi- lir*t fi<ltrtio»* BiliT iiiJ>iiii-H ul'rrilsin ul' uliov« 

inrta. Tlirwi, lii|[n(lii>i' willi (itlwir ■iiii)f'«li<>u* nf nm-tniDKlT >iii'><*r imiior1aiiri>, Innil 

iia III b(>sin ivvnTiil M-rliw of iilvi-HtiKHltiHia. 

In tba iirrBTDl lii<|nlry twn rlaMw of ptprriiiH-nlM vrf<n> pnrf<>fRti>il; in nn^, rnm- 

]>1M<' tniiiKtoriwi-tionsdf rrrluln imrt* nt llic lia^a nf Uip liTnlii wom ihaiIk, uiid 

iM iIh-oIIioi til' winia |inrt« iT«iv)i<ii>ctnrcrl. Sorlinn* w«ro tniiili> n'Kh tli« iil<««f 

iililnKon llirinrtiirnrMof kliilirr from liiwitr tiiirtaniKl puni'lnTr<anrri>inn<l<>l(ir tlia 

jnir)"'*'* ■•r •iHlnlli' lnRnll/nltnti of IkmI tMildm, nr linniln at 1i*>il fjlin*. I lisrn nil 

allfnii-l'il liMvliuttinn liy an-nn* (il tli« )ii,|(>''luiti 'if niiMir ■nliiliinih ln'i-miw *Nnb n 

titial !■ lirni-rall) (lir mi--tiut l» (■■■"•'tnrlUK. (Tnrorlitniili'lr. I bavo nnt Inmi 

l» (>ixiipl>li> (bin work ill tinii.' In rtpiirl llir t(ik>i)N In full nml in tbc prvMOt 

iiminiii>ii''ilM>u I •'■» 'inly udfi Ibc rrrnrtlK "t a H-nn* nl iii-i-ti«i». 

Ill llid itn'l) mI Ibi' 'lli'i't* III liiilona of till- niTvn ■'4>nli-r> npiqi 111* lical innrbnii- 

II I* nniuuary lii korp In vi»>w ttii' fart t\iM Injnry "f almiMt nny piirl i.f tlic 

ibrn-'tnoal axia may 1h" rullflitnil by a miirK iir Imm ni»rk»l ttM of U'UiiiarBlniw, 





1228 



PAN-AMERICAN MEDICAL CONGRESS. 



wUi(<b Biujr oonCmne Tur Uuiirn, iir ovuu ilajrH, ami wlii<?li U |><srl|pn)iirl.v Ithr])' to I 
occiir. if tlio iujury i* runi|>livate<l liy imiiih 1iir>iaiirrliag(>, thi> )irrH*iiti< (if ii ittot, . 
•Iiouk, Intioniliuu uf tlio lii>au», i-Ki. IlcsiiJc* tliii, a fertilo wiiirro of vnar majr . 
oxiot in tlin nurkeil itiii] niiaccoiintnlilo aocCiiBtinnH whiolt uccur ilmlcr jwrfFctljr | 
uoTinn] rlTRuniNtaiicjiH In Iho liodlty Ii-iii|<cmtiir» of ri>l>l>ltii, ■.'»(■. Kiilnon pii;i>. iiihI 
lUiKti — lilii' .luiiimlti Hli]i»i>t Mil(4]r Dm|ilo><Hl lu tliiH Hurt i<r liiveMtlKulidu. TIir lieal 
ptotmaw In ilo^ «i-<->ii lu be at iirt*\vt nt:iliility tlmii iIiiihu III llii' ftllidr niiiiiialn 
refrTTCil lu. ami on Ihni ucconot chii'dy I li:>ve I'ti^ni titciii for tills mMiiiFli. 'ItiH 
rotiio fad that tlie beul inecliBiiiAiii may ha niaU'rinll)- iulliii>iicuil 1')' iujuits* vt iin; 
purtof lliniinrve cL'nIriH ivnilvni il cviilnnt llist nii portion of the Iirniu ur xpttml 
«ar<l Nliotilit lie Ci>nclud*il to W upoclQcnlly vfinccniMl iu Uio IumI pror«Adii tinlMa 
Uie |i|j''i>uiiii'tiii ]iii>iliic*[| bj apfratloiin iijiott It arn dUllitcIlT iiion mniknl tban 
ttiiMo wliit'h !ttv oluprviil irlipti iitlivr but JllWriit yurl* sro nlti'i'li'd nr«l iiiiinu 
tbr rmulta un- fiiitl)' I'dnittiiiit ami pimitiro und tlii' Iomoiis jimprrly lucjillxixl. 

In fotna of Ibc ex|ic^iiiii-cta iii Ilie iinuent Mrics. obs«TTStiuDa wi-iv niixl)- nulv i4' 
thn iNiipiMntDrr ; in «i)ivt«. Tfcordu of t«iii|ierntiire, ciTcalutiuu. io*]iirutioii, nuil 
niotiJT rofldxea wvii.' olitatoail. vli[|n in others tlic mctbnd R-nacalutiinclrir*!. Iiinlll 
ortlii^ ^vjiPiiiiiciitH HtiniiE iKvililiy iloiiH wcni iii>i!il. Tlio tni'hniiii« of tbn opRTatiaiwj 
wua hi :ill t-iwii* llto nikitui. uiitr-M •jici- ideally notnl. Tho anltunlH wrroanmtlhtttliHl [ 
with vthur, ililororunii, urn iiiiKliir4>iiriiulb; ikHiuall Iri>i<liiiiiF<i(iiMiitiK wshnis'lo la J 
till! Hide of the bIcuII oiipo*il« In nnil uii it Icrcl with lliu iippor Hilrfai'it of tbn Htrni;-] 
turm lo be VII I; Ib« nivmbnuu'o wmb puiictiiTi-d; & sllj-hlly btul probe, 1 mm. Ibi«ik] 
und 2 mm. wide, was tn*«rt<^d harUoDtally and pushed uenws die bmin until tbnj 
■knll on tho opponlle •ido wiw mnehiyl. und tlion with a downward ■«ccpiii« move, 
nieiit nil the ei>r«)>ral liinn* lidlovr llic prdtif wna eonipli-lrlr mtTirrrid. A n'rlliia 
iiiliiiiiiil of b»'iii«rrli»i;e nlwny* oernir<id, Imt IhU nun alwny* Vrry altKlit, onil lijrJ 
properly InrliniiiK tlie lipiul fur it TfW ininiiti>N liniiKHliiitriy nfliir tlii>up<'ratJ<»iilraiu- 
s^ vm fnciUtaivtl iuiil the pcei»tir<> ln>iii a ilut in » larj;^ iii<<n*<iro prrrtintn). 
TeiapCOulUiv* uero seldoiii taken liiffure the uperulinn liMuuac the tilriiggleti uf tbn' 
aliiiiiiil. nK wWI iiR tliv dir»!t inllnewen of tll« atiieiillielie. no utTecl the hen! pro- 
cuKMH tliiit iLo rrrord an » nlduilard la inorv or l«u of n Detiliona valilo. Kjt mriuia 
i>f •«U*itlve thnuiniiii-lnr*, T«iiipi>rBtiir«« wcro ohtAliind irlthin tbrrn to llVf tiiiuttt(« ' 
after lliviH-Gtiini. With tlie ekeeptlau of tli« i-aliiriinnirii-iil rxp<>iiin»ii(H the t)i«>r-] 
uioiiii^tvr waa rvtaiauil In the recliiiii Ibroiixlionl thi> entire putioda of ohMrvatioM.^ 

Tbo expetiiueiits uia}' b» diridM into t>ix (-1uam», dialiiiKiiiihal'le by tbi> r<');ioti nf * 
(■■clion (I) (be noulJi] lobeii Jiiit aiilvnor to the ciindute nurlci; ('i) Ibu curpurn ntri- 
nU; (3) tbitoptti' tbalaini: (1) thocnira eerebri; {!>) I be pnnH. ^m 

h'or mnny itaiohh it iraald have liin-a diTairnbln to liave lui'bidi^l n iiiiinbnr at ^M 
expvrimentu iipim tbo rmtteal biial cfiiitrr* of Kitli'iibcrit and l.uiidolii, am) <if (HI, 
Mpiwially *o sluco \VblT4>, in a r»iN<nt iiiinnmii Ira lion (Jnnmal of Oiyxiolo^y, xlt, 
IWII.p, 'J33), gii'iw tuaillla i< liiib li>»d bun Ui rt-nrh I'lnK'toHioni iti ojipunitiori l» Ihiwe 
u( all olkor rereiit iiivmtlualont apou tlKta parla. Wbitr belirvia that h-oiotia uf 

th« (Ttteiute reiiten i {liileiilier); nnd l.iindolii) da not, or liQt diKhtly, a1l>-r rm'lal 
toBiporatiiiB. Kc|t"i<lini; the rtylriati center (Ott>. lie eoncltide* tbal its iiOoiy may 
tuiuon lrrei;"l'>r riian of tcnipnnitnie, whiih nra ipilrhly nimliiuiid and IimI lint for S 
aliuit lime; *oinetiinu nDVural rjiea and fnlU necnr aftrr imn oporalion. Ho Kaa 
iiidiKoil lu I<«linve, eoiuiderinK the irrpH<ilar varlntlotm and rapid rtiarai'ter of llie 
Hianitea of loinporatnie fnltuu'in|[ tbean Inilona, Ibat nTTlniii t^^rlx iin iixicirmnil 111 
inalnliiliitEiit Ihe iKilance between beat proilnetiun aud boat iliMipallou; iii otbnt { 
wordft, nf Ibu natnre of Utn bypolhetiral tberiuolaiic eentot*. While's nwilta ami 
(iiini'liutoiiH do not, tiewvv«r, aeom to he 111 mtira iimird. Tfaus, id Iim e\pvrini«nita 
on lli« cniriatc reiilona (Im> of t«nip*fatHr<< iH-nimHl in overf imilaiir« alter IIm 
otier4tiiui, varying fruin D.l'^ to3.8^ K.; aud in ibiweoo the Sylvian arvan, in 18 ont 
ur:fl Uiur« waaa mm — iailof leMlhan ]'->, in 'i between !■ niul '2 , in from 2-' to lem 
ttiwi U-*, aixl IU 3 frouiS' tu t^'; Uw averagu riw betni; 1.113^ and Uie groatoal 3.S . 



I 



PAN-AHERICAK MEDICAL COHORE88. 



1229 



tl w-mv>, lltprxforn, ilial Wlnlr'n roMilU nromtlicr In n^mrd Iban canKtrlliii^ irltfa 
IboMi «r ollinr liiv«i*igallmiii. 'nutrn U, (■■micigiii'ntlv, (it llm prwput l(in« im xiifti- 
rtpot fvltlriMii 111 vi'iikoii Uif Wl«f Hint lli«ri< jiri> nficclCr hunt m-OImii In Iti" vriici- 
iMe Bnil t^jrlvloii n>filiMi', iin<l thai Iiotli mr- tln'finn-itihUiilnry. 

tly (•K|n'riiii'n>Ui>b»w lltnl iHH'tlonii of l.lio l>iu>al (•iirtsof the tirjiiii, Kti'ti tLoiifili 
tbn miIuuIh itiv tlmroiiulil.v iiiiirs(Iu>iiio<l. ^iivinlly m'tvraljr ulTr«l (}■« tliorDinl, 
RlKiilittan . ivni'lriitiiry, mxl imilor rofli>t fiinotioii*. ami tliiit. in ii mitj'irilj^ of 
iwx»»rm, Itiu iliiH'k U> lli« ii-B|>ii;ili>t)' conb-ix id Bii craut Tliul the uiiiiuiits Hiiortmili 
nliliiu fi'ir luiiKittfH t-i r>iliim "f Ibo rMpimrory in(i*iTmi-r>tn. If, hiiurvrr, iiiti- 
hnat rr^t'l'ul'on '■ lUalnl-iJIKnl Ibo imttiniliiili! cflV'olH of ihr Klinrk piiiM oil' iiixl, 
viltitn n (hmIimI viir}!!!^ friMii lav* Iban n ntlniile to nn bniii oi nwta r iimiiilty IVnin 
Bro !•> (rii ailnutnii, uiiliHnnUf raaplratloii U roicnitirO. Tho rii<|ilrat<iry cetilora 
jtmrnill; nbiiw f"i- Inmr* tliiii. dn'ir •iju'r^itlniiit um itl*lar)wil, »■ in rvlilnit hi J[i<-(-n' 
l>rlli» 111 tli« <l(i|>ili ai»l rtei|iii-D<-i' t'f t)ii- i<>s|i|i»lory iiiiiv>'iiietii>). vrlikli f twin I'll tly 
iM-riii tliraiigbiriil llx' *i»'i'r««iv« b'liint III' ••luprvntiiiii. ludi'i-il, H l« not tiiicniuiiKia 
fiK ■|Hi|it«ncoiia rm)iinit)»n tu ifiine hiiiI iiRit it litm? tu lie ivaiiuicil, •ml) ii|{i>iii lu 
nuiiH> nnil bo rMUiui'il, iiiiil nn an miitiy lini» iluriii); tbu Tirar <ir six liuiirn nftor Ibu 

Eni-tlnu. Aaarul«,it iiPt.-Bii>(bitl th» iiisror tlic-w-i'tii>iia umlulhu inwliilU abl<mgiit» 
It* murw i>n>r<iHnit ■ml latlinjc Itii- plfocta iipuu thi^ mpimtvT]' coDter*. Tbo cltcn- 
iMion U iilwaymuiniioTar \ttrt iiiuti-iiiillr uffci'tnl. 8omotmic« the limrt'iiiM'tiini, 
ImiiMuUBlpIy uflor tbn ntwrxtloii. i* i-uiiiiilfloly Inhlblti^il, tlio nrrvat iiaiiiilly Innling 
br bill u fflvr M<i'iHiit». iiltbiniich Ut mil- ■■vjii'Tliiti'iit It wan far tbiTty-M'vni Borouils. 
I ■■•*" ■>«*''■' ■"*"> dxaib irxtiU f«>in pi' nil Jill Kilt liihiblllnTi. Tbut fbln liililbillon 
U iIh« lo Inriui-ticefi riipit«il tliii>ii;:b ib>> iiiblbilnty rriiinit !■ cvIiIkiii in ihp fuel 
tbn' II wiw anrrr jirvHrol afii-r siTtioii nf Ui« |>m'iiiii<>j!ii*lrii^ tiprvm. Iii totnii 
< '• I1m"u> iHiri'Mi wnTu «iil bffon' Ibu bniii •iiu^timi witft miiili!, itiid in 
- I iiiK tbc nii<l4ii>m of lUo iubiliitiim. Id tUu foniier, iahibJUim iltil not 

^^Mn-ur : si>il in tbn Ullrr. it nt oijcr h-bhoiI. 

^B In laBiiy of tlic «x|hii1iiiitiiI*, hihIiIoh HinnuM In tlw tajildlty aikI rnrrrn of tlie 
^^LhtI'd IimI cHiiiim-il ilnriiij; iIm* >iiii-c>-^ivi> bmiiv i>r ul>««natloi>, anil wltlimib 
^^WtvloiM iMDM'. f^uiiirliiiWH wilbiii u But-uiiH ur tvii IIk* tiuitri'* iL<>linii iroiilil huuniii* 
^^■■HimioKaly alli-rml. tlinii in tino cimm: ll r«ll fii'iii IjlII to IICJ livala |<«i- niiu>il<< vrilbin 
'v fvw Dpotaila; iibiiTlI}: aflnr llijii it Haildroly iiiviouaoil from Ita loXIO. Tbo artprinl 
limuiirn U TNniHiiily an'fi'iDit, i;riii«nlly uliiiwirii; a totiilcnfy to (llgbt fourMMo iliir- 
iBjt tbu rarly (luf loit of IW nxpiTlnii-nt ami to ■ ilocrcinc Intnr. lint tlirm la a g.'^Hl 
lark •>< Qiilfoniilly. (IwiaiE l<> tlicwiutibllily of llip rmt>irat«ry rniit'nt»Ili«iiO<iry 
!•> Ili« |>arU hiiIiJviIm] Io HUL'tlidi. it him inj i>rn<-lii'«\ altrr NiiiustliuliMlliiii. lo iiiwrt 
D Inarlitml Iti1>*, akil aa anon im any iii};ii of fniliirvuf Tu->piiiit>>ty m'iv<>niun(H<KriiTre<l, 
begin artlllrUl Tuii|iit»l>»ti, niiihiliiliiini; Ihia niilil «pimt«n«>iiH reHiiinitiou 
tiinml wllb ■iiflli lufit Hlluiijilli lo rarry iMi IIm> I'linrlioii. 

ART iboH* ■i|>ura(liii» Ibr Anfft iiKiiiitly mii.*h]f<il lit a mnillllon of ■Iii[>ot nnil 
iMniu llvnl lor ifiiTo tliao alx or f-lxbl lioiii^, iiiitny of tliriii *ucuuiiil>ni)t in I«m 
and seiiMi llvlu)c IVmii two to tlinw dajra. 



(1) LKaiova nr tuk moxTAL ia>imb *veT Aimiimii t<i tiik cai'imtk hvclk. 

fHl •lalA* iTlivrntiFtillr tlaxnllu, Svplfinliur ir>, IM<7), a|>pBr<'nMy fr<iin the rMniJIa 
t tt «li>i;l'- rxpuriniuiit ipti ■ rabbit, I but tran>ir«r<N< M<c(<i>u nf lliu wliit« inatUir t 
LUilarlor lu lli» naiU nf Itio fianilaUj iiiicki U fnllnirvrl by a rapiil rUo of torn- 
■hiri'. wlili-li !■»(■ iinlil thelbiiil ilay. Ttiia, be alao •lati-a. In Ibu moat aotarlnr 
ft uf Ibo brain, wblrh will givu a laailcMl riM of lmn|>«r»l'ir« wb(«i lii|tiTerf. Oil 
liK olbur baiiit, tbu aipnrliii«>itt* «f Armwnlin anil fi^eb* (llliiKur'a Arrliir f, Hbyal- 
W, i-Vl, KSSTi, anil \Vbllo<Jai>nial nf lliynlajo;^, XI, lt9l, anil Ml, IMI), )«ai) 
itlw IfKllof ibat Iqjnry of IkU iioriUio of Ilia brain U not followoil by a rlaaof 
vaipacaKira. 



12iiO 



PAN'AMEKICAK UEDtCAL COKGKESS. 



!li tir>rioiiicrlui«4iliiiu whiirhIiii4MluMi;<lUin jiiiliulhnit of thot-niUof the «aa(ll(t« ' 
iii"'ki, liurvty «H.*a|>itifi (Wui, the tFiiipvtulimi t'vll in liulli. Itevkixls ncn- (iiailo uf 
|i>ii>|ii-nilnrc, pnlu-. nrluriul |>iL>Ktnr<!. tud niiiinitiun, uliicb will I>d foiiinl in III* 
folium iiiK liibli-M. Ill nicpiT lull' lit I Iliu M-climi nnn li^ut tliuu I mm. fruiB llin iiikiIcI, 
uixl til «xiioTiiii(<iiI 'J Jiu>t 1 mill. In It'iiiit ul' tlirni. ^N liilit Imtli vlrriilatiiiti fltxl r<M- 
Iiintiu" wurouial«riiitIj affrrlvi) in liutli tijvre tAtio:itit>'"i'i'ti'""'"'i'tluu Iwlwcun lliaj 
cOmIa du llifiu aud tlie liill of tvm|iL-ti>Uirv, If. iHinoior. Ill* fir>ctiini iunilrivi niFn ^ 
Ikn lipaaf tho iinclui lliu olTui-tii uu tviupi-rutiin-iirti vrr>' ililTvKnl, ub bto illuntinlHl ' 
la piix-iiimiutii :l. <i. and 10. ia nbicli IW'iu I (u 2 iiiin. wtm cul (ilT. in every imn of | 
vrbii'b II ilir <•{ l''iii|>i-rai.iiiit "no* rcfonlrd. Tbn rvidi-nri;. tlimcfore, sc-in* t» point 
C"nrln>iW«l.v Ni tliit ludiiif tlint thii TiHnnf (•'iii|<r>Tiiliirc- noloil in Ott'm-xiioriiuriil u'ii« 
due ritlier tn it\)ury I<> iW i*ii<l> iif LU<t niudnU* iiul-Ici or wu* :iu uxvqitloiinl ivttalt. 

(3) tAtttt>V» or TIIK CUIirultA (^lUATA. I 

Tlw oxperliuuiU at Ott (Jwuriuil Narvtms I>l»MMn«, April, llfHl), Ar»n>»liu •ail 
SmoIib (toi'. ?ll.}. Uimrd l.liWiiv. it* l'biiJii«li>yir, viii, IMHi), p. '^Ij, ItugiiiHk.v anil 
Lduuaiin (Virohuu'a Aicliiv, cvi, IWii, H. 'Ja»), ami Wliili' (f'ir. pil. I all iiidiciitfi tbat 
luoiunsof tli» alrintvd liodii-iun.- geimtallj MIonvil lij u iii>irkt>il iiim-ino nf Ifudily 
toniiKTJlnrr. lui'l ii-nii' ut lb<' idinitrvulioiiA hIidw iliut lUm inrii'iisc ixdiid In itnTi-iiMHl 
llCiit iir<iilnctl"n i<iui>i'(|ii>Mitly Irwlinx ti> tlio Ixdinr tl4iil tlimu iitTili-ltiii'H (fiDtain 
tilt' nii'i-iiui-ifli'rii I.I >r citiileir*. Tin' niont (■iU>u«iv« «1 tli« ub'>vu hivr«ti|;;ili'>ii» is l>j 
VVliit(> clubniuiu),' 'JI< eV|>i^ritiii-iitA iu liis lint ]iiipi>i nml 4 in liia Hi-tuiid. In It uf tlie 
27 11" riBi! oitimrivd. iind in •' Ibcro vsia a full; in tlio rrniaiuiu;; lit Ibo truiper.ilurn , 
rKiicliod an liii;b nh I'roDi 101- lo lOtl.K : in T it wiu llHi , iir 'ivar. 

Inmyuirii liivnuiiuntiiiiii unci ion w:u iuii<lntliruiiKli tlii-sn br>t1i<« in IJ tMpi-rlaii>iilt,1 
111 li of wliicli rnloninittTicuI niiitliuila irnre ciii)iliiyiiil. In tliu Uihl ■> tliv MH^tlouii wuiW j 
niAilu dt llic fulluwlii): tvvolH CtuHi ilii' iitiloriur oktrMiiltlw i<f Ibo iiaiidato iiiicMt ] 
Kxpi-rtmi*iit :t,'i uuii.; o^prrlmrnt i, '• mm.; vxpnrimont 5. » mm.: expnrluicTit B, V < 
cuiii. ; ami iu vxporlmvutH T.iml tt. \'i nam. A rlsixif tvmpi-rature ucoiirrvd iu avery j 
cxpiTinifnl, slllionuli tlw ^ilUTutiutin <*ff> by uii lui'unii uiill'urtu iu general vbuuc- 
lonoriudcKW. Tbitrim-ii wci», I'lrnpi-ttivrly, {I.Ufi ', 0.1»f , J.37--^, 3.4' , a.!!)*' ,a»il 2J '. 
Piiiulbly in i-i(>oriiiii.'i>t h Ibo tImi tnii;lit Ihhtk linen KtraVeT bud uitt :t f-riiDiH «r pbn- 
noroll 1iyilri>i'lili>rHl« l<viiii iiid^ivi'iiioixly injcrli-il, iiltlion^b tlii'> in not pro liable jnd)f 
lii|C rruiii tbi' ii'unlu »( oIliiT iT\pi<i imiiiit* Iu irbiuli nntlpyr<'tii!ii wni' itilininliititr^t. 

In rvpurliiLuiit ;l Ihn imTi'iimi of l»itipi>riil.iir<i |Ku>iii>d •w.iy witbln twriity.llvp niiii- 
iitM iidiT t.bii Kcntlon. ntiil vnut followi-d tir n iiiuiknl TaM. irblrb pmifn'Mi'iI niilil tbn 
Mnl (it tbn.'!' bunni, "liovrlnK u >l<)cr«niHi nf 2' . In ■'^pp^l1ll(^nl« 4 aud tliuif nm it 
priiiiiiiy lull futlowrul bj a ilw; in Ibo furiuot tbu finu viim fnllancul by n fall, und iii 
Ibn bil1''i it rinilinni-il tn in[<n.Msu nnlil itciitb. In vxpcriim^iit 5 tlie ri-M act in at 
oikrti mid >1iiiidi)y ctinltuiii-d nntil ilt'ntb, lb« toni|iiiriitiii« iin-'ruaniu); wilbin fonr 
lioura frniii Wt.Gx-^ Iu ll.(£i-\ In i>spi<riiii>-iil T IIl(Mi< wud ii bIIkIiI primary riao; Iboo ■ 
Hllalil ilnollius but not to tlui iiuniml ; Itiuu n tnurli^d rise fulluvvil hy n tall, In 
oK|>etlni(inlfi tli«l<<iupM»lnr« i«MV*lrndi>y I'm uiicuiiil Ilin'o-iinnrbir lioiire. nnd Ibun 
dtiubtly ilirlini'd. Wliat hilhii'ni'v tlic liijiiitinn iff llio pbenwull bad bi t)i>t ]Hi«ilivi>, 
nllbiHigb MB bi.-(i>i(> nlatfil, it imtuiililliil if it M all iillontvil tbr Tiu-nlla, TIhi iiveraite 
lUr Iff trin|wt»lur«iu tlii^Ocxperiiiii-utA niui ::,:jtr . lhi> uiiiiiutiin boinc HI) , nnil . 
lid- ludxlinnn- t.'Sl'- . In Ibv ri'inniuiiii; G ui peri men la Ibu fauuriy rec»rdii uf bodily 
li'inpiTalnii'' nii>. iH' coll lor, iiunniiieiit Iu nbuir lliv miixiinnin and miniaium lltiatitk- 
liiitii>. bill In pioiy vaMt an inrti-iui- uiw iintrd, varyinK frimi 11.31- lo (.t '. l>unbt1«M, 
wllb but u (iiijtii' pnurplioii, tb" riait ira>> niiiU-itiilly |^i-:ili'r. Tlio <-al<iriim'(w and 
iiiulhoilH Kiitplo)«<d w«i« (tinci-iliinl by ibu in Iba ('nivorsily MMtical Mugaiinu fur 
.lanuMTy, IMM I 

The MM'tioDK vnereitt t]ie falloiring IcTiiU from Uii> anterior miirgin* of Iks wadBla 
niinloi: KvprrloiL'cit I*, t mm.; «x)i€Tiii»niit 10, ^Jhidi, ; Dxptriiucnt 11, II mai.; wi)Mr- 
liCfDt IJ, «ium.; Dxpvriueiil 13, Itiiuiii.; nod uxporiucut U, lluuu. 




PAK-AMKAlCAfl UHDICAL CONQBHSS. 



1231 



\ alody iir Ibi-Mi rmiilta ■liaira an impiirinlil. r«i-ti< 1 1 1 Ibul Ilicra la in th<i allffrrniil 
Vi)Mirltiw«ilii no KL'tn'ral iitiir<iniilty la tlir> alt^-rulliMia lii (it'll I i<ti>dti(itliiii, Li>at dlitai- 
altiHi. iMiil iKulil/ loiniirrAtiiri-; (^1 tlint )>i>lli bniit tirxiliirlloii ntiil Lc>nl 'll>«si)<ii(iuii 
tru luuTo Mr tiow kitiU'tn'i»l<ii>lIy nflVdU-d, ^iUlii><if,'li tli« iiHornliuiiii lii tli« IiiIIit lire 
t"l) *lv|K7i|il(-nl it|>i>li tUuov \u tlio funiier; (3> lliiit hi i>vurx 'tx|>rHiui.-ul. tlii'rc 
riinnl tit B-iiiM- lu'riuil an iiitn>i>iw nf IiihIOj' |i<iii|iei»t(irv; [i) ttiat Ibu rjwul (i-iii- 

■ lurf WIM llllir (U Mt illlTILNIllL- uf llOilt |>IIMt ll<lt luM. 

la i i>x|M>rlitii'iiU 1 So*. 'J. II, I'J, himI \'t) tintl [irixlDi'ttnn iriM hiiTromiuil iltirlni; Uio 
Brvl liiiUI »iU't tlin uontliill 1 llPOt illuipiitliiu vi** uUo ltii-[i-iuii'il ill ■■«i-li, lull, wilh ii 
■hlgll^«Xl'l'|>ti•lll. (VII tM loM ilti^ftiw til Jill liiMt iiiii'liirt.iiiii,lliiiii ><>illrHtiii|: Itiitl tlin 
thornlioDn in iliHij^Liiili wclu oF u ruiii|-c'li>i;iliir)' uiiliiri'. In i (•\)H<('itiietlln iXim. Ill 
liul 1 1 J iHitblinut |iri><l>icli<»i»iiil livMl •liHipjitUin •ii'ii'iltiniiiislii-il ihirlii^ iliin ]i<'niiil, 
h*at jirixliii'tUiii Willi; inura uOie-:ut[ tliiin itiwi|iiiliuii. tliia u;:Hin imliFutin;; iii;ii tlin 
JlnralimiN ia iliiii>i|iiti»ii u-l>«i ilupimiluul. tiiiriii)* tliu Hiiliie<|iiciit hunta Ilio I'ulit' 
|li<ii>« bt>lvn"ti ttin iiurvft iif pri>rlnclliiii iitu) iIUMiiialimi weru uf su iiuiicrliihi chnr- 
rli-t wiU laiUruic lliut iliirliit; iIiIh |iiitluil llii' iilUirutioiw lu ili»ai]iutloii ivitru lu k 
[■iHOHirv ii)iln|ii:(iilunt of IIiimii In liiMt iiroiliii'tloit, 

111 J esiiMiiBBiilblNu^, II iui'l riHlit>'n:ixiiiiiiiiirlMnnriiti»punitiir« wa«ni>lvit at Ibo 

nil i>f tliv lint Liriit, tW iDcruadi^* Iwiii'* ii.-n|iuulii t-I) ll.Ki ' niiil l,K8 '; in 1 (Xa. 'J.i Ibii 

bl|tli«al U-iii|ivniliir<i oiw uoi<>(l iit IbuetiH ul' tliu lliinl liuiir, tiju inetviui- iimuuutinx 

[t<>tl>^ 1 In- ■.•x)>iTiiii>-iila (Niw, 10 iii»l III Ibi- iiLuiininiii wiih iiut«il nt tliiiMid "f 

|l><> Tuurtb liour, tlip tiara bi'iiij; U.IH iiml J. Ill'-, i-miii'i^tivrljr ; iiiiil in i'x|ii'riiiii>tit 1^ 

ha iiiir^iaoH ■aioiiiiliil lu J. Ill '. m'onliil iit Uii' end uf I lie ttllh lintir, tli« iivviii|;i? 

I'tima iifilio tH'i'nrmiva ul' lli« inuxluiiliii iBfriHMotwiitx t""l>""r"iti>'""'ly'lliruu iiilii* 

I Utra ikftci Ui« Hri'lliin. 

nmxfiKX, in nvrry onv uf lU rx|w>iiarnl'< in which tliu roi^ion Htriiilii weri5 cut, 
IttiK li>vrl lit tlH' MHitiiui viiiyini; friiin I !•• 1 1 luin. iknia IIil- uiitvriut pxlrciiiitiiw of 
|lh« riiiiiliil» niiclui, uti iui!rcii«(> uf t<>m|>ciiiliiiD ociiirK-il. I he luiiiiniiim lii'lii^ 0.36'' 
l»u>l Ibi' uuxiiuiiiu l.;n". In ilio Mi->l *i\ »( tliu acriiM, in ulitrh tvuiiioulurcriiiiriU 
Iwora ftm|uiHill]r ukmi, HiiO iu wbjob tlii'Mi roounU are uior« ruluiiblv fur »lianliig 
Ilia laaxtiaotu hWm, llin iivrriiK" H** wiu J.;ill- . 
A «Ar*riit i^niupariauiitif tbo rp«iiir<Uiif*lhi>>llll'i'i«itlox|>i'riin<'ii(a loiulit to ttio beliof 
*t lbi> iBiiipriBlntii in liKWl jxiifniinillt' alTi^'liul wli«ii tbo xoi-Uvn k'hm lurJiloiI Iritiu 
I III 13 iiiiu. fruiii (lie uiituriur (iiilrKiiiiliiv nrtbu uaiiiitite nut'lHl. 

(X) LKaiifSn lit- ruK wnv. tiialjimi. 



Hnlli (Ht (f«r. tit.) Miiil lUnaln (Ia ICifvraiii 5ln<llci>. IHtM, pp. 1»'>M oixl l&Tl) alsla 

that liaioli* ul llUT lillti" tbilliilul rjnM » Nan iif EMilJn-niluTi', Hinl bl'llov« tluil tb«Hi 

•iiiiclia rnntklii li*>it rKniriH. Oil'* cviii'rtinviita wviir ininla by {inni'tnru nr iKii'tioii, 

Iwtiili- iIhihi ut lt»i'u|i> wiir*i by tlie iiiJvcliiKi <if bruiiarrli l>h>wn uinl tiiuliruiniil'i of 

]M>t.ub, ctr. Wliilit |/<U'. ril.i, iMiniKnr, liiw iililiiiiinl dilli'rviil Imnlla. Ill lit* llr«t 

i|iar bi> iviiaiiia II ii?()"<rliii*iiila niinlf t<y )<iiiii' liirir, in iivi>ry «ri< tit wluiib llivrv 

(-rtiiioil II titti iif loiniHiraliiii'l but iu bi* aoi'nllil contrllxiLiMi, ua a iiuinll uf fiir- 

brr will lautn ntuUoiia •tnily, ba raaiihi<H (bo mnrliuluii tlnil Ibii Ibuluiiii |iomi'm 

I |Miwur U' panKU aa liMVmwa iif luni|iiinilniv, aiiil lliitt tthi^i llMiy liiiv« «|i)iMvntljr 

a, )l biia bMin oviili; to iliriilTeiSKnt uf Ibu vutffii* nlxiiitom. 
II) •1MB FXjwitnii'tita ■•->■»■ tu Ih- in ai'i-uiit it lib Wbll«'a coat'luvioiM. In S nxpnri- 
■nte. In biitb i>( wbii'li till' iHH'Uuiia wrii- in tbi- |i<i»lRrl(ir liair of tbfl IliaUail, tbs 
rUtr bidlii-A mil Iwlait liijnml, b aliubt bnl tniiialiiiil rt*aaf toiafionitiirauvvsitvd, 
[<*blcb WUA IiiIloHiil by ■ lautkni full. 

In rtiHtliiii'Dl !'■ tbi<arrli(in wn* ibii>iit,'b Iho iiiiibllnof Ibn ijanelin; tbn ioiiipnn*' 
llnro dan mily IXII , ami ibi'n rnjiiilly futl. In MpMiinoiit l*i lbi< (riiipi-rnliirw 
llurtniMril iliiilnit <bp (tml ifliivitn iiiiniil'a O.P uiul tbi^ ili<iilliu>il. In tbi* px|>*ri- 
Ituriit tlio ■oi-liou waa 'J inia. fiuiu llw puntoriur oxtroiuiuua »f Uio tlinlwiil. 



1234 



PAN-AMEBIUAM HKUICXL C0NGIKE8S. 



Ill* flftli (loroiil, ttion Hourly iilwajfB Uiv biMil |>railitull(>ii rMHMinml Ixil liltle Iwlow 
lli« Di>rii)ii) ■rnoiiiil (I'lpiirimviit 2). Iii iiiiu i-aw> lex|iprlniocl 3) It v-vreeiloil tli* nur- 
luiil iiiiioiiul. i:i>!ieu ('xiii-rimuntii wvro iiiuilu miil thi>f vniifliwcil IW invi'mliutc 
Ktuluiiii'Dtfl. Tlif iiiijuiry iiuu HTum. lioi* uru lliif}' tu l)utiii|-liitu<<il! It is kii»H n If 
yuii ilivjile the >|>ii>ul cunl buiwrcti tbe llflli null sixlU ilnraul uirt iw, tliul ia, wIh>I(> 
tilt) ajiliiiii-liuit.' lilin-'s lUvidv rrucn tUv I'urd, IliL>n lliit bluoil luueU uf Uiv skii) anil at 
tli«Bli(tuiiiimiliIii1cniiil T.lii>M<>u(l-|>ci.-wuri: rit1Ji>i;i^'^ly- 1*^ tlic Mxtiun U iiiwlv nliovw 
tllx IpvpI v( tlid om-iiitil tliiiHul u«rvt', tltni III .iiltlUlnll t<i itii< iibuvo v^i4o-iiw)tvt'|iiiiu1- 
}'hi« (liriv In ■ ililtttiuii <irtli« voHM<l« (if IIk' I'iii'i.'i anil lioail irliioh Mill futilii'r rchirra 
tli« iii'luTiiil t(<uui>ii. Till) car<li-i<i uui'i-liTitUit uurvrti ulmi Iphvd Uie bivIduI I'otil tiy 
"llw oi'iuuil mid tliini ilunul ii«rvi--i ami pciwil'l) tu buiiii.- vxt«iii Uy (hi> Itrnrlb atiil 
Bdli. Wliitn Ihi' vaii«'i<i>iiii[Fi«[ar ivitli-r* of t)iu buily Hr<i lu tito dorsal <«ril, Uio 
Vn*i>-illliitor>i KOIiCciH iiin <>IilD:i<l tlirDiijclionl lliix'uiil, 

Whi-o [ (liwlray tliH cotil Iwlow tli« llllli iluihiil TvrUhr*, I nut ott s iu<n-c(iui>U'liiluT«, 
tbo K))likti(-buii-B. aod iiUii iiiiiilhilutu lLi< vjis(i-illlnli>ni, innliily i^viaii b> tlui tiiUMi|i-» 
Wli'w [bin )M>iuL Tliiii u'ctiuu cuiulv n luu uf uiiianilaj tunnii uuti u ;;n-nt f»ll i>f 
utU-cml tviuiiui. If I iWtroy tbooitnl »bi>iit lliu ilrnt or hvimiUiI ilurittl, tbcu kll llif 
viinu'roualrtclurn srti (Ii'fltTiiyf<1 anil nciiiiy aII llii' viiMi'ililatun. TImi aiihuat* uliu 
illi-il KL'i'mril lu hn Hlxiii'kml. jmiliiilily liy tliii iritox isriliar iiiliil>tUi>ii ami pu((ly by 
tliu itri'at i'iu>i>>iii<i(i^i' |iHi»ly>tl>. In cato I tiiLulf hi>iii« bliMiiI-iimMiitii< cii|M>rltii<>iilH, 
anil luiiuil lb»t tbu »liiiv»'itii>ull<inHil «4M.'ti<>iiB ami ilMtMii'liuiiB uf tin? cuiil jiimlly 
roilnvud tbi'Mniid-iiii'voirv, Now. il wriiia ti> iik. Ibnl llii'S|iitiul tlii.-liiiugi'uii* i-futrnt 
I)tay but a buiiiII part iu tliv Iicut prtiiluctioii 'if llit^p i>xj«:(iiueDta. Ill an nnitunl, 
After (Wtli. I ifliuli' a li-aiii>vi>ran KcriiiMi uf (liu wtiiiti' Imdy ui t1ii< Itltli ituiuil va-rln- 
bill. KUil till.- H«i)[bt (if tb(i Iniily utilorml' Ui (hi* Ki-vtiou una :i |ii-uniU, uhkl« tlio 
Ixiily woisbt |iu»trtii>r to Uio tllvUloii Him « Illl1(> oWT 5 |>i>Titiilii. Ii> Ibiit c-jmo 
Ibufo ruuld hr till "[iliial llinnmiiti'tilo i.-uiiU<ni Kmiiit-rtriil with iliu jHmiiirii'r |>>ir( of 
Ibu biiily, li»ii«>< nn niD only bavo ttii>ir ollevt npuii tbv anterior |>iirt "f tli« )i-h|)-^ 
Itiul Id, IIiu 3 pounils or tbroi-'^iglilha— wliili- tlie licu'Vigblliti Itovu nirly tbi< IJMao 
twukt witbonl uuy nurvoiia iitUuu. Kuw, If wv iuHiiiuu fur lltr Mikr of nntuuivnt tbut 
thv hriil jirurlucrd iifU-r a M-i-tJoii at tlio llltli ibT'iil !■ ki""!!}' <bi« tu ni'liiiil i-i-ntMra, 
Ihun w« iiiiint luuiiiiuu Itiat tlie iioriiiul tJi[v(^-«lclilliii i>l tlin liody ran pmilnci' lu iniicb 
iMUit iia tbu mirnuil niitbl-niuhtlia »f tliu limly uilli an iniin-t iirttoiix Hyii'iii, 'I'll In, 
■uuiy vifv, it uu ali«iir<llty. Ii iii'riiiA ii> niv itiiirli iii<>t<- iiitionul (vatKiinio that tbu 
lipat I* iMvirly all |ii(iiln<'i-d in tli« liaHiiivi of tlio liody and lli>it <bo ii|-iiiiil lb<>niio- 
grille I'onlvm art' uf *iiiall vuliii-. That iiDer llic uiiitiiiil in Ki'''>ily ■bni'knl l-y Ibn 
wcliou hIwvu Ibu nrtb duiMil it in iMHily nndirnluiid lUut t hi' rinujii' in-kin l» crmiily 
■rnuilnl. Adinltllnjc tbiiw (act". It in iniiillli -i'kii ilmt lbi< Imtt In inuiiily |iii>dii>*vd 
In Ihi: UnuifA and Ibat llir wliuln iinrvoiin ny«l»iii •uiii-itrnrid III brat Ti-i;iil;itiun U 
tlii-nuiitavlc. If llic k'niiii'ial urv folU lirtun W>.1 I',, ibirn liiiiiiilnviiaii' bhI by Uio 
rotvbrni vrnlvia l» tlic ajilnul ci'tilura and iiiuii* bual >« )(<'iivntlpd. If Ibc teiu|«i'tt- 
I tvttt In b1>ovi< iW.-l ' r., tbvu tbf tbuniiv-iubibilory I'l-ultirn uf Ibv mrlox ix-t ur the 
ImIim ntiwrviiiii may lioalirTMl njt, ■nil tburiiiolyaln bp Inrrcaned tiy Bii);iiiui>titiiij; tbo 
rat* <i( ni>|ilratiuii. 

Ur. II. BaouIii, iif Knjiliw, boliU tbat tlii llirniiU'lnliiliihiry rcnu-ra iwt tlincUj 
ii{Hi(i the banal lliftiuiit[i!ttlc luinli-is. Wbllfi I buir pnbllnbixl vxtiurlim'ntn iiii|i|ii>r1- 
iitK Ibin TJflw. 1 tbiiik tlintw la tllllD duubl tmt iliiit llivy iilnu art illivi-ily upon Uib 
Kjitnal tbciuiujEi'iilc i-i<ntm. 

l*t. t'., T. Kuicbi-rt Iwliurvs tlii: (i|>iiial tbrrinoj^iiir cmtvn to i«e uf u liigh valU) 
aliil playnl upua by crrvbtvil r«ulcr>, like llic lii-nrt i>< pluyril apoii liy tli« (■■>n-tiral 
Ui^rvm. Hut tbrae eiiixriiiieiita kliuw tliut Ibeirrnbrat iK^ul'ifs uiu of bi|;b vatixi and 
llio upliial tlwnnofipnii.', jif *r, aro «f littto valuf>. 

Dr. lUotilit, uf Nil])!!!*, Dntuil an Inoriiaao of t*>U>pnratiirp afbr tlii> tnJriHioD nf an 
tniLant Into itin porpura ijoiidfiKrinliia. linriiUi livlirV'-it Uii'Me l-ii>liu» [•■niuin Ibor- 
Iiivj[c4iii.- (<«uti<r« like lli>< tiilwt (luefvaiu vt tb^ niidliraiu. 'Hut vxiHinBioula In Mm 



^ 



IKKICAK MEUICAL OOSOBKS? 



1235 



poprr (how thut llin arli-iial li-aalon rjtii lir jtr^uitly lonvrr'l mid Ileal [imiliirlioli Hot 
br iilln:tr<l. In u tirnvlntm |>»|arr I i>v)iliiitii'-l this H>« i>r l><iitt>i*rat.i]li.- aTlKl' injury 
uf llir iiiK)>i>r:ti|Utid[li£piiiiiiaii>i<lil«t-ili'W.'i)(»l U-iuimi iiinl rhnn^il rxti^ of rMi>iralinii, 
Ivtil lliDH- Hiilmil ux|>eriuiL'Dlii biive L-liai>;*cil tii>' IniiKl. Wliut llji*i:uiTr<-ti-\]ilniiiltioii 

taur iliU riHc aRrr nil iiiiiiry t<i Ui<imr|>arA<|iiii<li'i|^iitii>i> trmuniH lo Ih- workiMl uuc. 
Tliul Uin tiiliM-Elii*tcuui LiiiilHiiio tbiTiiioxi-iiir vi'tilrtH in nltonnUy tlio eiprriuuiiit 
wlior«. irllb ■ don tlcnUl drill, I )»iiiiiitiiri<il tltn titWr Ibratiuli tlin iiioiilli, anil 
aliUlnail a twn|>nr>itnr<> of HHI" K, U hlmulil lio miiniubnn'd tluC wliiit I Imvo 
ilpwirllivJ w> Ibv ihHluiuir liPKl <iTni«r aixl Ui>^ biuit cviiloriilKxit ttL-liiS'A4TX|ilfnlioti 
iirjittii rotilar. a« wril lut tlin lli"riiM-|>i>l,vi>i»rl<' rstitur urn nil hkuIkiI In l.lt>< tiilivr 
olnetviitii. Utio at lli« iiiott ectuiu Muuit tliul.voii Imvo |iiiii<-liirv<l ttm tiilior U tlut 
»c««l«ral<!il ii<n|>itiilioii, iu,~<vm piiii isl Willi n i'uii*ii1i<rn)>1i' iiiiil rii]t|il rlxi of t«iiiitcta> 
Uir*. Ill |>uiii-tiiiini; lliruiitili iIh> umulli tlie liln" llicurj' "S hiiiiii> irritvrH in livitiul' 
IIhIimJ, ma yiKi injo'" !■" 'Il>nii in lliii operatiim. 

TliHl lran*vrtM< Koi'timiii In IWiiit i>r tlin <-4DiIiiU<iiit«l«iia,orur tlio rniidnte nnplBQii 
itai'lt, I'IihIiii'Ibjc ■ ■'*' "t tviii|iaMiilui<' iiud iiirrv.unil tii-nl. prud'lrllini. will (liiiW llio 
linvtilHi' <if bi'ul •-•■tili'm la nth (•t'-d : VxiC piHtrriur to tli« i.-ii|-j>tiH i>triiiniiii tm Uiuih- 
VDntn wrrliiiB, i^vcB If ■ui'iniipatiU'il w ill) iIhii of li<iii[M'rutiiii) iimi iiii'minnl hiutt 
lirinl net lull, nlll t<iralli<> any limil I'l'iitiTili l)ii>i>iniii (ir liii'iliilliku* yiiii bnvu rviiiiiVi'il 
imrt <if Ihn liiiit-iittHliiliui; ii|ipuTitliiH uiili-iiur to llii> siM^tiuii, »iiil irrr luiliinilly tli« 
biui|H<ralur« riMu ntitl bvcit priMl'ivtiuii Is jiim-uauil. Il is only liy null-InruliMHl 
inincliima liilo gray uiiiltor. iimdncio); ruumilvrablL- Hm oI' ti'iii)ipr»liiri> anil iiiiKinen- 
UUoB of bent [inaliirlloD, tliat jruii rJin infer tlio pmiiineo of a UicriDoi^Dnin oniiU'r 
•t Uu> ba*n »f 111* brain. Tliat iiijiiry of Ibi- oriirn will raiiMi a iiii» of trmi<i>i'iiliiro 
la tniv, bill Imfn you iDiiy. by |>iiii> lurn. itijors hntb tlifirmo-iiibiliifiTy niid llioriiia' 
IjBaii' lllMni, Ml tbatoii lui-»liuil|i>li of i> tlurmujirnlr ri>iili<r i-tiii lii> liifrnciJ. 

It wwinii til iiM) tbnt ill llu' mrl<>\ tlic rriiilnln '«'Ut><r of llnlimWru niiil I>»ii<li>i)i, 
•11(1 tlif Sylvluii, aio ihi>riii«<lnlitl>ituti : that iW buaul th(iiiiii>£riiic ci'iilan dm 
l>H-at*>l < 1 ) in the (-luilulo uarlenH; (:j) iu lli« ^r^y multi-r l-riiuiilh mid id IVotit nf 
Ui» I'oriMiii ■IriBliim; I'A) in lUi< tabvr rintMi'oiii, nnil Ihul tlimu oiiiliv'^ iirl ti[M>ti the 

linkiira tliruiiuli ■(•iiinl <<i>i>tri> wlivn ili>' iiiviiiboliani iiiH'iU !•■ Iio ■■••'^■■ral«I ur 

rvlntiti!!) In aiillvlly, ■■• <l«V'<l<i|> Ifau aiiMniiit i>l Iinit ii>'i.'i'k>iir,v !•• Im<|i IImi t«iHfii<ni- 

tittf al Wt.l' ' v.. ami IbU i- iiii ii>-l iif lliciiiniliiiia. 'ni<-titl'-i(i> I lii-l|i-i'i- llii- tiirii'tioit 

of all Unsiw cmitorn, IbrniK'tci'itii- »iiil tlwiniiulyiii', tit Iw liDUl iaj;iiliiUii|C ur tlH^niiv- 

I teltv. 

lIVI'KlllUKKr I. 

ICMi wnlilii. 1-M |>nibU I aHUMivf 'anlUMir«Ulta«i>i<i«liiii4<ia>itiiriiluiiMDK tkMiH4Dl.| 





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», -j^nr* •«n«i, X.f. 5t » 

>t aftm vi^''. sf 1* a.;* 

',vi ■)••- -vji* . ;:: ti.71 

'^ «fv^ M-'-T.'A ^=.G S^'M 

■i»4 afu.- t»1iA«i J^Oi *4.M 






rf IWm -<;«!. iT.3K Si.H 191. ; IOI.« 

•I h,i-t.,r.- •«imir >.iw ain loi.e ni.« 

.rt .!■« •■• r.uii :*»• Silo »•.& f*.! 

'Iidri vl>->n J^S 34.M M MI 

-I aif-i fii-u a>.9' 2i <i W.2 U.S 

•I afirf .».ti',ii n.m w» ».s u 

>li>fi'>>nfi'>n :!).M M.S» » M 



■,\rr *ni'\ tliut IliRri: was ii<> room Tor further ilonbt ol' the ciiat^nco of 
iiMt iirinliK'iii);, lirul-iliwiipatiiig, and lieat-ri'finUtiDg ■-ciiti-r:< in the lirain an 
[I iIk: niiiiiJil If >ri1. [n tiji- riimu nf tln' tjourt auil itx acei-lenitinp and iuhilii- 
u-tH jti 111'- riieiliitlH. VII: huvi^ i|tiiih aii uii.ili>):uiii< Fiiuilitiun iinly. that work 
:'-il In llii'Mi liiTiliiu: It'll li'tH w liirh sin: ilplinitely liiciiteil. un<l in the cane of 

I'ciiliTK hi'»t Ih firiHliK'Kil Tinili't iic>riii:il coiiilitimi, whirh jh only another 
till' H;inii' fiii-tuy. Ill ono I'mw w« iilit:iiii work liv thi' [ir'ciiliiirily of the euu- 
i( lliiixii n-iili-m with ]>c^ri|>h<-ral ori[uiiai in the i>lher laKU \tb attain heal 
11 r ri'ii<tfjiiN. 

K'iilliiiii iiliKKtvi-A th;it in i-xjiiTinii^ntK on l)i<! lentriil iitTvons Hyal«m luni-h 
)|i<'iiii tliiin H'hiil ii|i|ii-iirHiin thii Hnrl'ace, iih ih "hown liy the ctinililiiin ealled 
' 'I'hix i'i>iii|iIii'ii'i-H tliii TdHiiIti* I'btiiineil, althiin(;li tbu experiments of Ott, 
. jinil I'lhirH hIkiw illHlitn'lly thai th<-ru ure ■' ci'Uti-rH " irhoaefnnctinn is that 
iillltiK tli« ]irfii1ni:tiiin anil iliiwiiiiiticin of heat. All who have atuilied the 
>r imi' kniiwIi'rlKeiir tlio vnxo-motcir i^i'ntvm will remi.'iulH.'r thedixpngHinnann 
tliin III' tliii f^xiHUini" of Hnb«iilinry vaitD-mator renters in tliR curil, anil nven 
I' liliHiil viiKHi'lii. Many of tint reHiilU whicli have been olitaiued in those 
<ntH hitve liiv^n (1ii« to "nhoL'k.'' If wu bitnr in niinil, then, that a similar 
ri ciiTiirrinK iil'titr >'X]itirimcntH on tlii^ ceutinl iiervons Hyiit(>ni shoiiltl manifest 

Hinnii roHnlla which |ii>rtHili1y havit liui'n attrilmtuil tuintlueiicing the I'eutral 
inti-m " otiii inny, for all thiH, wi'11 t>i-lii>vi> in the oxiatencr of encli centers, 
I woiniiy rnrlhi-riitliiw Ihal their (lelimitutiuiuindloL-alizatiou liavenot becu 
li'tonninvil. 



I'Atf-AUKKECAN MEI>1CAI, CONCRE3S. 



1237 



HOW DOES ATHOl-lNK KLEVATK THK TEMl'EHATttKi: OF THK BODY! 



By laAAC OTT. ».]> 

If Htr<>t*i'i* ■** £■*'•!<■ to XI Hniinnt it will rniiBV a liip of Iroipriiiliire vnryins fT»m 
M.ft Mitljl- I*.. iMrmiilt'il Illy tfiioiiiTruluro of tlir nin1>ii'ii(. air i* nliivntwl. If. iluniiji 
ItiiBPlavMUimflf (cnpitnlure. tbcuouliLMirlrrlrkjIIf iTriiutoi). at^rouUr n«i(iniiiii>ii. 
Itlnsrlonitl'lcr Klalir initnlntn ia not miclili^n hh miniuIlT tiikivpUiM'. but linn* griM]- 
)naII>'Bt)ilaiulinn«) mS\«r tho irritiitioii for two bniiiv, uflcr wtiirli it Knxl'inllyfnlla. 
It iru* r<>aoil thiiC wlitltt ibi' t*'iil|i''riilili<' ■ni* riiiiiil Clio iirl<>iinl ti-iiHlcn Wiu falllii]^, 
Vlim ll w>a itFlrriiiiiinl Iijr tlin rnlorlmnlcr, ll van Tnuuil i.iinl rim (iii'rniuiiT of Inn- 
pctntnni »n* itri'iiiii]i.iiiiAl by mi incirHNnl |i|i>iliirtloii niiil nii|fi»f>iili>i| lUMlpiitioti uf 
beat. I liavo WrriiidtTiT, on iii-rciiinLortlifSpliuiI nliiiitilniiiiii'tiiiTi iif iilrii|>iii(>, itifi-ircil 
tkat 111' ■•trmliuii of llir T«iit|»'r>itiiTi- nnw iliii' I'l Njiiiiat HtitiiiiUliuii. Tu I'xpuri- 
■lailiiliy ilcmmniu Ibc watuf iti'tioti I linvi> nsi'il cuTn u'liirli urc ntill miileil I'l "how 
(lip xlevBiioii nf tiuD|iotiitaiM>. Tbin«Mi I'xpi'riiiiDiitx vti-m |iorri>niif<l. WIifii Ihu 
i-ot<l 1TM oiit ■! Ib« 4Lliw iiml atmplnv inJccliMl i<i-t jiif^iiIuT Ibrre wan norini'df (cm- 
t |wluliirr, tWVfnii r<<prflt--<l ri|ir[imi-iiU lirniiiliKtntoil thiit tlin rlx* van liiit niiliiiil, 
'til' l>i-xt nX|H'riini-iil iraa miiln attrt a IrjiQuvrrx' utirliiiii. ]u*t ill front (if th<^ 
lllMllilIn utiliiujciilii. tli» I3r4illitii lirliif; iin-vjcici'ly llnnlcil ; Ihi-n n rlMi of temper- 
atur«(rii'tiie*1,;ifi<i-lti«uiM-of ulrD|>iuf<,u('»li»iil 1-. hut ti»rriiAll,vnrliii'ort«iii|ii'tiitiiiip 
I nnuira nftr Rvrlion Hi fniot nf tlie inixliilla, bitniiiii I tin jtifnt rrxulntitif; ''■■utrnt of 
UiK lirBln bavn t>iu>a ciit i>n'. Iluir urc w« iiuw tuililTi'iyiiliiilv b(-tU'i>vu tbo iiiirmiil 
\ rttoNMil thul riM aflPt llipdrngr Aflor thuulropiun tbu riai> is only 1' . bill trbtu IJii! 
■nliBBr* Biirvuii* ■)*lnio I* lului't tbn riKi! iouftcn 6.^'- F, I hiivc iiIhh niiule bodii' 
•ocUmn In fmBtnf ibn p'luii vnnilii nii'l |[ii-rD atra|>liip. Hi>rp iiiinUoliiiviin riio iif 
l^impFraliirn « llbiHil »liii|>iDi-. Willi Ibx iiln-ptnn llii- bii[linil ri>i> irim^.L'- h'., atlfT 
I wf^lliHi Iti fruitliif Ibn |>"i>s wbli'b k« ii"t liii>n- lh;iii woiilrl bii rxpo-liTiI noiiiiiilly. 
Afl>ir I'DtHtil riniittilrnttiMi ■>■' lti(> m>iili'. It mciiu- l>'i>i<->llltiriilt. t.>>>]>rnk iiri'iimt«i|y 
aa I" llw • iTpbfnl i-i>tilrr iiltfit<-(l. Tln« t-liclil n-n <•{ ti'iii|ii-iiiliin- urti-i piinrtiim nf 
til* iiMiliilU "t )iii|it riirutii in Ibi' roMiit li.ivc ikiC 1<-i1 iiic tu lii^lirvn in llio vxiHt'>iir« 
I iif llwTiiinKi'iii" •-■■iil«rii iu Ibuw lioiliix. I'lilil viif liiiro ilpl^oilHy ilirtrrmiuiMl tlie 
I viuli'iictil bi'ul <'rii1'<t4 111 llii^»f<i>ri;iirii« it fic«iU4 tu iibiMirtuU*«a louidUEuv lliiit iitropiu^ 
oi't* iiiiiio llHtiK. Atlltiiuj(fa n»t iliti^rlly coiiijo<'ti«l witb Ibi" ii'ibj<'rl. yd 1 bi>)it- it 
■ III iiiit Iw uiiiinii (•■ ■jKMkiiriba vatiii^'if iilrojiiii" i<i shAcik, urn lu tbc [■n'iM>il<iii; lupcr 

II liHVn 'liiBiui'lnili:!! llmt ilnrliiK I hi? II rat boiirof nburk liritt prtiilucljnii in iimrly 
*i^>. Biiil aaiitraptiiolii ait iiii)tinriil»r<>f bi-nt pr^nlnTltoii wi-lmvx nil nititltluiiiil proof 
>f>r wbal U ptMiili'ully kiiiiwa, tbul uliopliio i* of mc'it ralim In xbiu-k, Coi'nliH' is 
jklMtitit KiiyliTutiit «f bi<al priHlui'lltiu anil tronld ukllioiitiliiubt liu tif ifronl nlllity. 
KXI'KKIUIfM- I, 
jCaii ItmfhaiMnjLiililnaloMd'utjiKtMinr allM.) 



I 

I 





A.T. 




11.T. 


i-T. 


f 

r f 


1 


'9 
i<a 

iol'i. 
lut 


M 
IM 


3> V lA ■TJiriln>|ilu>' utrJiHtiiltr) 
***!/• p-WamBtur ivriuculaTi 






i 


IBI 

va.4 





iXI'l IIIMRXr It. 
(ClUt Ich m t—ri i>|ilnal ivrOrkl at •effludKriVal TPrlabra,] 



> ... _T .•■r«irat4B«|i*'>*C<ila'i 
LUM —. 



ItQ 

twa 

'iH.'ft I 



: .« I 1*4.(1 

- :^i.bir.arMfDn|Ml., tKi fl 

; II , ,,., 1112 ! 

- ^S( HIS.I 

-J US - , loai 



1238 



PAN-AMERTCAN MEDICAL CONGRESS. 



EXI'KKIMKST III. 

[<'at , ruml.lilH 1i^at4'il I tnu^lmtotny; trnnavt-rrtir svcliiiu of Itralu JiiHt in rroiit of iiu^ihillH nliTotigata^) 



I K. T. , A.T. 



K.T. 



!■. J(, 



A T 



r. M, I ' 

2.M I 1CH.4 ; Bi \im I 103.2 

2,54 (^^ tLFr oLmpiup ikT Ju^uliirl- — --.. ...'. il.a? ..-- ..--.-,,. l(J-_». I 

3,110 IKI.a B2 , 3J7 ' ll«,i 

S.ll I 1(11.2 1 ,' 1,16 ..< 1011.0 i 

;!,lu I Wi.n »■• I' 4,:i:i liio, i 

^■■Xtt't i:r. Blropim' |»r .irii:iilnr),j |1 4„'i5 mt 

■ II I 



KXI'KIIIMKNT IV, 

[(■ill : rjiniliil" lie"!"!; Irnrhi-oliimy ; Kwlimi jint ill rriiiitof mnliillu nliloiijpilii.] 



A, H. I *.M. 

10,17 104,fi IW ll.UT , 105.S 

]0.llt(/,ar,i>fHlriiiiiup]HT(iiiiiilnri II.IH 104,6 

lii,2J 1"4.7 I BH r 11,1(1 (;,i;r. [NT. tiiKiilur) ' 

lU.K ' Ilia, 1 ! ii4 , 11,2) 104 

lU,*i liH,K I I ii,M) l(i:i.4 

lu,44 ..-, ' liis 85 ii.sri ■ ira.r. 

IU,57 1(14,9 ; , 



KM'KKIMEXr V, 

[Cai: curat ill" li;:iilisi; iTiinli^-nliiio)-; Irnuii'i-rHt- M^cliaaof liruin }u-*t iu fmut of inrrlullu r'lilnngdlii,] 



r, «, 



M,"ll(lH'fciITii™liiml ' 102 ' (Ul 'i 2.4n . 

2,3(iif(iT«ci'lioiil -. Iial I C" ,, 2.M - 

2.34 lii:i I 



...I lori.a ; 

.-, io;i,2' 81 



HSTEIMMENT vr, 

{I'nf -, c,jiniriil^ Llt-iil4'ih lr:ii'1i<<"tMiiiv: Imii^vi'm*^ MN^Iif^ii nl' liniiti jihI in fiimi <if moiliillji iiliLcm|;atA.] 



A, II, II A,». 

B.W I UK,:; no I lu.lli , 

fl.r.7 I IIH." 1",I7 , 

]U.(i:i ■ lii:i-'< ;l 



nil. e I 
1(14, n I 



w 



KXrKillMKNT Vll, 
[full enrol ill ,< lJuii(i-t1i lrjic'lii'<il<oii>': imDHvi,rriii t^nilioi. ji( iiiili'1-iiTr nl;!i' of |»niiA vjiroiii,] 



A.U, I I I A,>l. 

Ii.ai (l-,liin> BWlioiii I 1112, 4 I TS . l(i,:n I iiio. 1 

11,37 (nrt.ri.i-.-ii.Hii i"i,« I 10,4:1 HHI,:i 

lii,2t III". 4 ' H-1 I 11,10 liai, 7 

lii,:il ' 1110.2 I us 1 11,311 IIIU.H 

I«.S!l,i„l{r,ii(niijliii-|"-pJiiiiiiliir) '. 11.40 ' mi,i 



W 
SO 



K.Vl'KltlMKXT VIll, 
irnt; pnmtiilii ligatnli trnolimtomy ; (niii«vi>n«- iH-liun nl niiK-ri.ir nlmi of I In. Jioin vnrolli,) 



P.M. I 

l.M I lill 

2,l:i 1H2.2 

2,ai I iiHiii 

2.'J7 ; iir.',(i 



2,'JH tj^ ^r, Rli-ii|.ini-|H-r juiiiitiir) ,.,-.- 



n7 
n7 



!• Jll . 



IU2, H I 



^,35 . 
2.44 , 

2.S3 . 
3.2(1 . 

a.K . 
3.;u 



10,1,2 


02 


10:1. 2 




101.2 


IK) 


loi 


HO 


10!> 




106 


IH 



rAN-AMi:ittCA>' MEDICAL coxaRr.sfl 



123!t 



KOUVRLLKH Mi:CIII{KOHKH Ht'K I.RS CKNTKKA TMKKUK^rpji .\V SUJO 
UK 1.A 'niKKMiHD^NfvStK TIIICKMUDyNAlllvUK. 

Ftf IB Dr. U. RAVULO. J 

^^^F iiJ:M>.IIALITlf «■-« l^ TjrKltliliiilfjcfelK. 1 

I^HMiniillniliiUnna tlinriiil(|iin* oont tj^oo uiix pIii'nmiH«M tilo-clilnilnuoii qnl «# 
priKll'l"^! ilnil* U li-XlDir liillmr <lni llwiilA. l.'liirliinni'r illnniiinui'iii- ilii H)tlrini> 
IM>rv(>iix, iiiH i-M I'> (iri'iiitor UutciirdBiiit li- mi'i-nnUm" ilr U ii^untiitUn do In rliiilfiir. 
■■■I «u<ii»iaiiie our r«v pb''ii<inni>iiea. 

1^ l<'iii|f^r>tl(irv lies nti;iiiiisiii«» ■*'l^ve inik* I'l-ui' *»1oii le prot^r^ ito* ]H'cil»t1i«r- 
iMi-n luix (ini<'ifll>nriiir>i lUon CM ■Imiicn' i) r • I» ri^K" '■*'>"" (I' '" oli«l«iir. U'lln 
riMX'tloit H'»|>|t«f alt liana Ii-HdficanUciimiinliiiaiiK ■) toaf*l^innnc<rvriix>i'a|>ntinllnliil 
nun piTrfMlhiu. *<»! ■(uii* ra;fijr^);«tioii ilna I'l.'sienbi liiIiittt'iii^iiiitKw, *wilt iliiiin sit 
•Ifuriim iatiuiF. 

'rmit I'rla i-al liii^ otair en roaaUWriuit l« i)i^vclu]i]i«ineiil 4l<i nyHUine umtoux (liklia 
tna )■(;■' lint lirmicA, e\ ni>'iii« iluiti lea iraii^othi^iuik. m roRnTiI ilii prottn^'it liTrco- 
llnnni'mi'til iiD" «i ■]r*t''iup a''i|Ui<ii I ilaiii In p''tiiid<.- ili- (li'Tnlopprmi-iit <1im in'^nici, 
r«r [■"wlaiil •|ili' "0 ■Irvrlripprnt liw |">iiviilre r|nl riiiini'iil lu llii<ni>'>|!r'ii/-iln anluinla 
Ml pairr«r|iiiniH lu lliiiniio r^ciilnUoii. ■■! In I V lit plural it ■>• iIph niiililnnx iii1iiII<-h HVjfnlo 
a« ik|[tA iiHt nppKttuiiI li la rlavie I't I'l I'uniiu. 

I.a n'S'ilnUuii Uiciuii-iUB «al ilmiv lii-u nil t|/vel«ppniiiriit M an |i«-rrrrii(inanni<'Dt 
■Id ayHli'iiiriii-iTi-ut. 

Mala rrMr (•>ti<Hitiii k ajr*''*''*'' 'nrvwn IVxpili|iin rji Mo, uii pitr mtntn-a <■! |Kir 
V«iMa •iiirt«<llaB»ii|ii<i'laliw,nii iiiirill pnl ili-x il|r< uiiImiih *]>(^r|nitaf j 

KaUt«-t-ll iiiio r/f; Hint ion IJM'niititnu iiiil>'pMiiUiiitr ilii ayati-tim vun-wnleiir ( J 

KXisniE-1-ii. itKS rrNTRM tiixRMiqriwr ^ 

TnlU la) i|iinill«M quoJniiiH aula iirnpna^dorfaiiinlrp Aprha •\v MnbnreJMN »Kp<'> 
ripmitaW. 

Sar U |inimlJ-r*. iMina loa ii^vroaaa da I'latliiiio rat liaa raxioknoci il» nnntrea tlior- 
nii'tniw ■■! tH>uui>i<ip ilii<itc>i»<>. I'ui j'apinciiiivi Iph pbfinmiiiMiivt il'iilitvntinii <ni <rii1iiiu- 
Honi'iil ilu la teai|iiTuli)ic jin'iii'ii pTi^Boiit rdiinri|ii^ wiiit li^n k tim <ll<«inlti>i viihH' 
uintmia, 

I.Vilal'uci' •« ralioiira ilea iiiAiiMa coiilnw dana Im n^vrnara ilo I'liiUiiiic i-a liout uat 
lUt (oil fHiaiur, aaMiii' |<«r doH reoberchoa nxirArliiit-Mtnloa. J 

J'nl nbnirh^ A roiid'ilro DIM tvrliatrbiu aiir <n iii^l dan* h* pi>iidili<ina Ii>m pliM 
|ib>'a|filn|(li|iira iinr |HiMil>h' i\r raiiiiiiul : Ml \o(*h*»at i>xar|jiini-iit la UatiNi par iiiin 
rhn^iie •{■■'nalci * f>ii iiiiu>|iiiiti< do (loiirim (lii'tmiipin* npra litir Imiitiin |H<rlii>tn 
bliarf I uliiiiio 1 rl pn liMiit -liui |<[»)ir'o »p|Ktn>ll>> llii'riii<i-i<lri'lilr|ii>'*, ilaiil I'nii a it^ 
Vumalinil * dMiicin, 

VmiBii'iit JO n'lil )■"* '""' •'alia lA l«'liiili|iii' »xpi<riiDi'iiIiil*< In Ir/puiiiilinit i't In 
<1i|i>ri>(i>mitaiti»ti xii ('iKiuiiiaMnt tliw liipiiia lr>« ji-uncn, i^t riinyniil nupunivnal tii<<ii 
^l«li!ii* If nip|u>rl ln)'<-i'Tnplil>|llt^ olitTit Im i;Ansl|i>l» A tn I>ii>m> iIii cprvriiii nl In 
uittnt" 1-t.U-niv ilo l> U'tv, J'ul pit l™'r |™ iii/'Iik» i:aiii;ll<>iiH pni diviT-*« iii4iii-'iTa, 
i)<int U pitia (iiiipk rat am- iiiifi Halilllc aij-iiill" il" I'ravn/, r<>1ur>« {■ In puiiiir 
ar IIIM1 ■iilillt"*) lie •■i^lh>l v Inlet IrM •.llEir>>« pI (■'■-IiVyi mplilvnirnt. I.iimiu'clk 
eiiiirl aiin lrai«t A IratiTii Im tiMiiK, cvtto ni;;iilll<t [liimi iippriiU'a lm<ii)itiis(it ft 
J'Mit4i|i«lo ila r4nliMl «n pMil nliial vnir k |iMnl d'arrVil >tn ratuiiilln, *l imi tr«)«l. 

* Tuyri I N-<ta ■■'••■•■•lit* "fViiiil TaiHili-l." I.imttn Ixi*, T||i 8aliall n h^hiiih •<llil.-i.r iMIa 
||<I<->IIM Uwllia. ■■ I'tillt iwlililliililva* rill tituto " Ho «lal«Du IhMil 1*MIIIIol ■ •■ ■•IM* linn d'jMa' 
I iK4i^«i'au)* dai Ta«wiwt J 



—"• * 



1240 



PAN-AHERKrAX MEDICAL COKURRSS. 



CMt aiii<ii<)ii«J'ai ifiii avoir 1i!«u htenlisA In IMoo mi tn Itiniiant b dc» jioitita 
lUti-roiiui^o. aaiit I'Diiai-r dc Krariw litaioipi rolIaUrale*, et vn Mitvniil, M>lttn Uion ■vil^ 
111 iiit'lhiirli' la |iliiN ]iri>|tic poor iMp<^iiiiieut«r diuia ka uondiliotis ilc ritntmfll Ih pl<U 
]ttiyal«)i>Kii; Ill's ■(<>•) pnuililv. 

("■■HI ]<i» luMiirn* tlicTiDO'^lrolriqiiM j'ni ii>j 1m niKaJIlM d'AnuMivall et ounHtTHll 
mi ixitrvi iin tfnivaiioini'tn- ■p^cla), qni par lo iwnritnr tliormo-^lpi^triciue i(ni aa iI<'t(i> 
Inppi* d'liiii.- ill- DMaluiillW diImi <tn un mmllnni i 3>i', iloiinait mi arc Inipiil'irilfSO'^t 

caRnu.AiRiCH xxpi^RiMitXTArx. 

Lea t/nnllutn oxp^riuiMiUiiiK ifiivj'*! (ibwiiiia tont: (1) Kit If^Mtut ]>■ rliuliitmi "pti- 
<]IH). on nluHirve niii- 61i^rnliiiD thcMtiiiiiiiP g^<^r&le uv«<< ]>r^piiii<1/raii<'e h lu iiinltW 
corrntponilnnt li la IMoa ri ik I'artDni aiipWoiir. (2| Ba li'nuot 1o tiilH'rPuliiiu r|iia* 
(lh|C<'»ikiiiirii ntii'riniir, on nlinrri'n uiio ('li^vatloii tIiRniil(|iiP |[i<Di<TH)e nvcc pr<']>PD<M> 
raiicv It la iii'ii(i<^ i-urTitpnuilAtil ii la l/«ioii «t ilniiii rarliim infi'iloitr. (3) l.'in)i>«- 
tiun ilutm \iM vciitric'iliw tat^ritk" rniiM> itii iitialaxKiiieiil de la U'lnp^'ntiiiH. (t) J'al 
proiliiit iltv IMuiif corticuIi-H. iicilt npri's pii]Ar« tloiijoiirB it I'nbMiiro), bciiI eii fHiiiMit 
iiiii; f«ii<>tr« nil cxhne ol I'ti iiijoc'l4Uit dan* loa Iociiiim iponi/tiine'ra dn Venn iiauttfia 
coXotAf aTi^ l« tni'Ilivl violot, pour eoniialtrn I'rixlnoiion ile rimlntioD cnrtiriUn. 
Lm fourlim thrmilipii'ii aoiit ■l|[U''<'* pni Im apparnl.i tLomio-i^Ioi^trlqnofi, <it ant 

id^raontrrf rinRtaiiiiiMiit nil aliaiaM>iiinnt dc la tniiiji^raturo qui dnra pnixlant pta- 

FCfMir* jonn. 

CXSTKCe THEKNO-IKHIBITOIRKfl CORTICAIrX KT CtXTnlM THKlUloakMU KAAIl^lllCH. 

LmceuttiTii llieniiiqiiMMont <1«P0 dtstingui^ m llirniin<itiliibitoirni, i|iii aont Ira 
corlicuux. ft limit lo laplii i>e Unavtnt dun* Ic lolio finnto-]iant(ul; d kii thnntu^ 
molnirii <iii il,viiiiiui>-(linriiili|ni^* nii mioura tli«rmui|[i'nni. *l ■■• troiivoiii ilaiia 1m 
K"iik"'>i* )'iu>llniri'h. 

.Ill tif pi-ii\ •-iilr'T lUrih IVliiiIti eritiqiiu (U««i>iitr«it tWnntiiuM, »t parHuitv, mslgt^ 
Hint) ili'xir, Ji> lie yvnx >^u»iiOL-r l«i niilrm failn 1)111 i-(>tidriil potitiflpor uiateucp. 

Ju nuis coiivniiivii <|uc le Hn'r«l poiiT i]<^cel«r 1«i foartioiid ilii ui-rvmu idn Knutd 
eoordiuntoiir di- toua leu ri;iilrn n<llcx ordnniiAai i-oiiaisle Ik rxji^ninDUtor dam !«• 
Vouditioni lua phla pll>'alolo][ii|ii«a i|iin jioaiiild*. 

<|{< RKISIK I.K lIltCAXIflMK HAlil'I^TKirn IIK IJk CIIAI.Krilf 

L« ni'catnUine r^Kitlntnar dam la pradiiniion ds la ohalcnr no rMAa yn* ilntiw U 
tnolillc i^plnliir*. let niintiTiil t rHtmnot dnciK 1o« cotouan* Jati'ratn* )«• AIifih tli«rnii> 
f|nM qnl ]Kitt«nt dnt rtintrM Uii>Tniii]ii<M (iiii^phalliiMoa, poiiiUiit ijiie lu fniirtion 
tbnmiO'lnltlbltolro apputli-nlcaiia d<iiil« A r^iiirui> c^Tiibmle, iinl a d« nii'mL' la rnou- 
tiuu d'inbtbilioti ilra oiitrc* in^Kuisiii««i r^lkchw »t vnlunn^ ^m 

mALB tlKS VASU-MuTHt'lU OAMS LA uftfli:LATIO!l UN LA CIIAUtVM. ^ 

Pont ri^pondr* A Vaatm qnaatlon ; " ExlaU--t-U nnc r^Kitlntloii llirniilqua llidiS|t«ii- 
dantedii Bfah^inL- vn4o-nuit«nr T' il fandrnit I'l^pmiivor rxpi'iiini'iiliil'^iiii'iit : (1) Qn«4la 
ImpoTtakiu- It Id ■)'iiiv>a)i> vav'niolriir ilaiu la tUi>ritioi;''ii<'8ii> I'l Uaiio Is ri'i'nIallflR 
tlinriuiqner 13) Ki ractivilA ilmt caiitfM i.hi'citii<|iit'>> ajjcil >lli'i'i't»iiii-iil on pnr let, teti' 
trm roao-raoti'itrn t 

Pmir r<(4i>iidrp lu pr*>ini>-T« i|ii«itiaii, j'nl fall pliisioun rarbercbaa, iiiii m*aDl donni! 
Im rftultat« DiilrntiU: <n) LVI^vuliou IlioriDiqiie iiui auit Iii ueani'pMiSaia oa Ia 
lievn»-]iarntl*iH vano'Hiouire 111' BiirpnsM niitlumetil In lc(ii[ii<Mitiirci ini>y«un« du taim;. 
(fr) V.n Hirituiil, ini on coiipanl l» fllol tPTTiral 'lu ■^■■<P'>^'l"*'' ■^""* '" Inpini npr^ 
arirfr li^ ruit^reruinlidr, «n n'i>lM«rv« poa dn faita d'l)ialhi<riiilf>, mi il'iporilir 
luiNllc. (r) Nallc i(i)nt(>-|>arl d'^kvntluii tlir>Iinl<[iti' o'lut cnilam par lu ■'i>ii|« 
•jiiii|iaUiii)UB i|nt ih- auit ni ra)i|Hirt dlrvrl : avre ana plua iwllrv elrnilalion, avw 



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PAK-AHEHICAN SIEIUCAL COMfKBSS. 



1241 



* 



I 



Ai-itr* •\r. la rliml4>nr Ki-i*nninl^ ilaita In wiiis. at itTnn Is (UflVrcucp ilu In tiMii|>#i»lMT« 
Mllr* kaani; litl'Uir i-l I" i^ifn niiililant nxtprBP, (if* l>04 pbi<lliMii>U(w ilw uvitto para- 
lUla (wriilairit tio iwxlblli'iil jiiw la tuniitie (!«• rnri*ti(ii» UMdMiaiMiui-lIcn on Ae dr*- 
■■■•iiU< •!•< In l«iBt>''r>tiiTi> iornlo (ureilli- ilti laptii> iiiii unit, iiu coiiUnlrc. I'nliuro t1i«r- 
iuii)«a (i*n^mla cniutfe put VaUttttui dot rnnlres U)«ro:ii<|ii«i oop^plialilfaiu. 

uw vAf4^■^<m^v»i fovv um iimTMinL-TBuiis nruKAVLKjUKit dk i^ citAi.KrTn. 

I^ *]r*V<iiM> vmrn-tiiotvur Tvg,lii itaar U •liitrilinllnii (1»1» ellial«iir iIimia rorfniulune. 
■■tMiiill r^Kl« I'lM^Urli/ ilii ocFur ol Ic tnii iW ral«M«iix. ' 

^■Atiasll'il ■|ii*ll i-'g;l«) niyilraalliiun ■)•■ i'oruaiiiitnii), il tfgtv |i»reilIeniiMil In Oivpcr- 
Uon iln la rlialeiir. J 

Hitr.LK XN MRWK TKttFO U IHItrKIIBinK t>R I.A CMAtJirK. 1 

J'npiMllv mtt« n^nlaUau <lii aotn ilo pi<rl|ihriri'iae pour Ul«n 1b (tmlinKUf-r «!• I'an* 
tf n^tt nisi inn •|>ii< jn dihiiri» ■watrnlt'. Lii pr«iuiAi>r< MtMiiiK if it^ixivernuiiii-Dl diruct 
dn B.viUuiP iHrvriiK de In vie v^;!^lativo. laadis iine rHiitn i-wt cnuti le i^oiivLTueiiiniit 
d<i •ynl^'iiui nctrrnx d<? In viv ■oimnltt. 

t^ ayntraw mail- iiioi ear cat ii/nnmflliM iin fnclniir prtnrlpnl dn In nnttitloii dea 
<«iilri>* t b<- IIU j(| Ilia, car II r^'gle ta ctrrnlatinn iln |iliuiiiu< pntHlIf daa* ecu cciitma nn 
rt^laiil U uiu ili-a vhImtsux. 

A(7n«-|TA tilRBCTIt I>IM CBXTRN mBRMigfU. 

J'onvre U ■lntiitl'>in« iinMlion: Ln* 4i"iitreii tli«nul(|ii(n iiiet:l«ut-ilit uii oxitculliin 
Imir artlvj|<< dlrprUirirnl ml ]>ar l<n n-utri^ rnHu-iii»tViiriir J'til fait pnTi.'illf'iiiciil 
(l*« n>rti«rrli«n f<x)<^riinualBl«a puai r^nmidrD n-tlf <|ti»ti4iD. 

VniiT Mrr loiitdniitu.il fitlluit oi^pNiiir I'l^li^ttKMit v.iintiMiii d« IVli'uicnl. ti«tf (j« 
ddiiiaiKlr pnttlnii A" rriic mau'i'-n- do inV'xprimrri pour d^'nioiilnx I'lM'tivif' diroclc 
d«a ovutnw tkeniii(|ii<M. 

kxi-Gkikxciw. 

J'al pntti-|n^ •ii« «ix|»*ricni!p« dr !n mniiK-tP »uivanlo; ApiVn avoir iioW U tfnip<<- 
nlar« dn Inplu %vrc ln> appnTcil* tli«riiii>'^lcrtriiju«i, Jn 1o Ilo <Uuh U dmidie do 
Miwabti rt kieiilM l'niilm«l nntrn daai nn cnlini- par^tlt; Jn iintn oacorn In t«iii- 
p^rntnni dana Im iii>iii«< pnintu i|n'an|<nRivanC; dr an iln Jn pii')KtTO In varotnln i>t jn 
ifitc lie ii'iovnnii la litiipi'inlBro dr I'^iiiiiunl; Jn llii •■hhiiiIk In llintnino iiplligiiA |i:ir 
la iu/iIkhIo •|ii>- j'ai rxi-m-n dim" W>» iiriVMitof)!* |>iit>liraii<>i]>,ni j'liliiinrvn, poiidniit 
UD rnluin ti'iii|M| In ■<>>iiiW iln In Ivmp'^riitiint du riiiiinial diuin Irn div(<r>> jiuiiils 
iHii^ pr«'i<^>t<'iaii>ri>t, rt apr^i iiu'vllc n'p«l f<lrv>'p, jc Iin I'nrlnra pii^parik> «t j'ulmorve 
RIHiilta I'nltun' dn* roiirlxui ltiniiDi>|<iiw daiia l» lu^min poiiila iini ont H* i^latilia il«a 
k' r-iiNln<'nii>nin«l iln la riv'linr''lie. 

l.ra plniinlini |, II, Ml np|K*rliniinni<tlld'aiitrva rxp^rWriinna ijar Jn it'aipnapuliJl^M 
ilaii* Im piiii-^kiila <<crttA. n( tooilnal li mnilrfi plna fvldmlea (iw liMliidUutia ijii* J'ol 
luitMi ailt rrtln dmlliirBin iiilnatiini, 

Kri>M*nm C, {Sfrit >',) 

Ijtplii tnii[*nAliv-, dii poldft d" II ifnminnA. ,li< fniit In pi>|flr« ilit llinlnuni npiiigue 
»>fr iiiir nli:<ll11n dr Fr*' n* l^liiln I'laiju'A iiKillif^ d" kH loriKin'iit nii-r iiiir ■iiihiliuii 
aliKuli'ion lr<« ■nlur4^4< iln iii 'iJiyl vt<dM, 1/aiuillltn «it. niifiiiin'o .l<i :i iiilTi. iIb ta 
■iitiirn liilnipntlf^talo. nl it 'if ifiiii d'< In liiailcli'' ^tiii'lm du In Hiititt>' Iniiiliduiil*^. nil 
Ul'inv'iNI raljiiiltin •!(• V.<f> •'iii. •'iivlrnii, Jiil»|il*li hiltr pamltlv iln" pi-l.il(ui RnnniiHWH 
•nialilt'M. Ju Ulaw rni];ril1ln nii>'> pniwlalit r> inlhilto* wlllriiivul, rii duiiuaiil A la 
^■iil* d-B |Mi|ila luiiiivnnii'iiU li>l-'iiirii. 

'l.'aalito— * dn e^vflloB* lilo-raMulilma <ril<iblnet Ml Uca •caaiHL !■«• twlmphaa da 

tail>l(ri tlnHA (iir In ni>Mau< 4ai I'lilriu rf«mnn<-iil i-iltrixsat inLnvuni* d'Hn r*iniiii iIcmdji; 
ta ttmlrii limi 'u ralkhn' liv* afitnv )n»|«'i I iH^Lnaion noiitiif'ti* itn U l^nlfn a|iT«« dn •^iinaln* 
ifji' ' ' ' - priiira'iilp tl" Ift |-iU*4rlo4t do* ti-liii^ daaa la tanuiUi^nv vnlliaiiU ■!■* «liavr» 

•» i»i df iMM Umwrlw flilirlaiUjiif ». laua «^q fblE« aifl flunk 1 rtulM-tvalluli loutv d«a 



1242 



i>ak-am(:hica\' ugdical cokudksr. 



An*W I™ im-ml'TP* nw-nitMns, <|iil iliirmil mivlrmi <! rnlnnUa; ninrukn nutro iio 

I pit'HiIriiil Jirti'lnnt liiiiln ruliwirviillini. I'l )mirilli'iiii>iil liuDi' iiii>r-it(iirl*all>>i> If 

Sulnllrii it 11118 liw <trii\ |iiiiill<iii* ilrx uri-iltm ill) l>ii>lii, I.'<)>Mi.ti nlloii mir ro MlJ''t 
iti.i K ,imir-, a;>r>» li-"|i)'>l" il fiir lii'^ -'11 lilt '•tmit ]•■ Ktiii;, V<ilr In |ili>iiklici 1 i>i>iir 
rnlliirc ■!•' I.> <-<iiit)>m l)i<'i'ii>ii|iir- rl imiir Ji* :uiti<» iriir;ii<|iiius ilr 1» rr''lia<rflir. 

.I*r«^iir, — l.i-'i«ii ilii iliitluiiio iiiilliiti'i if^iK-lKi ,|ii»iii'iiii ^ (In MX) f'pni'Ai^ur. Ilaiis 
Ire niiliiu< iiri-iiiini iin ii'nl>i»ntt»ii<«i irumii'innl. 

lU'iitial itpirii/i'-ntal,-~l^ rmirb" tlicitimiuo nmiit iiiniiltw i|n*api^ avoir IM [a 
rninliilri c^iii'liii i-C |<i-iir'mil W jiini* Hiiri'nuill* In t>i|ii|i('i:i(i>ii> ili> lit ni(>ilii< fiiiuclie 
(r/ib* ('iiTri-H]mi>i|;iiil ^> U Irxioii 'Iti tliiilniTio) eot ri^lir i-n e- t»*i>it t>lii' •'Imi-n ilil c/>t^ 
ilmil, i|ii'>i<|nVtli'»ilK<iJ>i In r,>iiriu> tltoniiiii'i''- "<> l'iilluri< |>i»|<ik auv h-nliinn 4ii 
Dinlfltno i>)iili|iii-. 

Ih>ii« rvxiii^i'iPni-a Hiiivaiiln ranltunl a itfi rii <iti«PTVHtii>n tu-inlnut 31 Joiim, rt U 
CBTolIiln H i-tfi ll'a> 7 Joiini aprr* U lAnloii 'lii iImIiuiio a|>(tqii(<. 

HtfirrUiirf I., (M^ I'.) 

I.a|>iii );ri> iln )ini<lit ilo l.lnl) (■nuiiiiitv. Jo Tal* la |>ii|(ir<> illi tlinlikimi cuiiclio 
nHiiiii« fl n I'll' lU'iril ri-ilifwiK. 

1^ li|>in ii'pil inn jiii'* <lo t-ronniucH roiiTaUlvM. niuU Mulement il'bi |>^^Ml1lfRle 
<l*Ti(> I'^iriam infi'iiiKii' i^niirliv, par<<i? i|ii«i riuiliii*! i>it*i atpf, fnrt^o liint|iii> JVnfinre 
Tniltnillf. 

l.u |>i-rl(Mlt> )>i>i>1» rli> r.iiiiiiial mt roii>iir<|iiuli1e,* I'om- la r>iiirli" llirrml'iiio ct juinr 
liw aiilrru ti>Tiiar<|(ii-H ik IVxpirii-nru vnii pUnrlin tl, \j^ la)<iD fill liii'. n< lul i^tniit 
to »Mlll. 

.lutojwr.— l/'ioi) tiv» ("vliLinlB 'lu (linlnuio o|>l.lr|iMi iiii In •'•iiinv <ln rnlEiiinp fittW, 
triinw- nti mlllrii •!»• tin-iia ilo 1i> |ii>:iii •■» Iidh, Ihiiui Inii iinlm* ■•deiitii-h tiiil riiil ulior- 

1.11 pnt*ial;iiii'i' )li> k •■nlfiriklliiti tl'l Int^tliyl fldtnt a\tt<t» iin lr<ll]M niiml li>iIE[ nst 
dun a 111 iri*l>nl<|at> i'X|><'iliiiiiiiliili> ■|n'>,|'Hi hhIvIv. 

l.i> iniuttiit >lo io^iirrl filer i-<>iiiiriii>' iniit i<«>|nr j'ai <fl>Mrv/<laaH)'iuilTi> tvi^barob* 
•iuilil<>. 

L'ox|*^riutii-i< DulvaDld n'n pim /Iri Aiilvla do raiitAiMln i-ar 1t> Ia]iin 1 1I iniriirn. I 

i:i7Mw™«- J/, (.srtrir r.( 

l.H|>iii ii'iir >l>t )iniilM ■]« I.TfVl •jiiiiiimm. .!•• tail lu pirgltiv <1r llinlntiii nptii|ni> unn- 
rile rmrmii- 11 ii I'lA ilri'iil utilnmiis. Apr.'H lit ]ii>|lin>, iiii iixiiirciuL'ii t dc niiiii'-iin it 
iliiiita- ■->! i''\ iili'Nl, lr<|ti- 1 pimitlu |iriiiliii>t 1 1 Jnnm I'l pi'ii it )ipii ilimiuiiu iriiili'u>it<!, 
el )■■ viiii'lii'mr' Jixir |<i ln[>iii mt fii i<lnl ■t» riiliiii- pait'iill. mniii *■ on vlTuriiiiriic 
I'liiiiiiiat rii l(> iiii'ltiiiil «ii tiiiU<, ^^ iiii»iv»iiiriil ilr aiiiiKf^ hi rr]>torliiil ilr noutfuiri. 

NrxiH r<'<i'''-iitr->iiii ilniiM I'i'tii' ri'i'lirrf l«< Titi will Tuit iioiircaii: I'Vot In tiiaairniiinit 
<lc Minl»';;i', Mnti ••• •yiii)ili'iiii>- p-l <ln A tn I-'niou ilvn t)l>ri>BiIii pMuiiciilx par la 
)HiiiHU •■ <!<' ri>l::iiilli' iliiiiH nil roiiToi-, 

Kii ■■Valiiitiiint III miirl"- Ill«^l>ir|lll^. planrlii' 111. An vnil t\n'it kbiicIip, nil n lU* Wfti 

III nanitlilv, 111 ti>m|i-'riiliii'<> n'<<«t ^li'viV- Jmt'iii'A II" iiti'it»viiit il« I'^iiii tioriiial, •■I a 
■iitvl liM miHlallti^ di-a •'«i)[h<« llHiniiii|u»ti •Inn* \v» XMintt An llinlmiio op(ii|ii«. 

iif:(li'i.iTi<iN i>Ki> «ii.tKrri'>M> i-aR iii^h Ai'Tiinn •tnciiKiiriiio KM'^iiiuKXT.tu:)v 

Daii" rm ivrliiirti|i(i> Jn rriiU pn<>i|<ir' do Imit ■^tltnlii'^i' I'lirllvlt/ rnacninite, piiia- 
ijiiVti a.vniit •wiayi' rr- xiijcl iivw iti-K anlira rti"<ri<<i>rr>i ilc I'miivii pniir Ti<poTii|ro 
Adnti}liJmUuii<(R('kfilllii|ii««<ia rxii/rlHiPiilulrH, iihI pciivriit ftio iniwifni i(vi<liTUPa 
Ml nf anJ J'al utiwrv^; (a) <fitn Im nlTiiU itu la lilMttiire an ml pour llT la niroliila 

* J'«l r^irii'klii' 1^ Idfl m^fiiiH iliiii* |i4 Aiilf*^ i-vf>i^rf<'"'vii^<Ja |i»1flii>i-A. Vdit |i*c* C Uk 1a U'ttf^ 
I(n|ili1* "Ti^lrl Uriitli^l r I'miipl sa*n u*oinrL in nr^lii"' *tU IvtmuiUnbiii'^ rveaUNpMif4c« In 'DintI 
iIiihI nnrniiill" |<*li>lni>lrlii- S'ii|>n)li Ti|>. S-iK 111. UtltM. Itni 

lllBb«rr<llr<-i|MN'&i^ui'ii, I'Hitnn^ ■■■iiik Ira H*ilrr*< i1«^j^ i-nlill^^s i'al Ttiiu«ti|iiA •vnlvipdnl Iahi <n i|ni 
l-iniOdti ft Ur*el"n ■■nr^iihalhcif iiimn i|n<' J» u'al miifuilr^ annin* Udnn ilaii* Ib» nulmi atstar*. 
IVur rtttr mlvtn !■« iiMij>|viii> vnt roi]k|»IAi«A, 

|Lr ■lifii"! >Vit*kli^p-'K II-' ■lini^kiii" fuwl Hii|Hiri«nf^ till rriii^ rnvlttvfcli^ |itn>* iinVn tnlv^ni k* Irv'tmt 
<jiif'ii11iirifDritl4iI<> ei il»«4«m it-<«il4-, *Ihhp ■§'< Ifiikfii^ Bf'.(t<>4 4^ fi>^lioh-li'«. I'fel rtfi iw\\ii'rit »nn ^flnlf 
l«nj>nl>i^'' Jjin* ■<« Ii4lifii" i1»* |ui>uElrrnB»l Iji Imii- ilii ffiwmn, f-'iiii*iiii \'t\ \ni 1r iUtM»iilr*r ik iiai* 
#'>uiiiilwUiu ■[*" '"''II'- la-HM* <!■< iniilfbliip nmnv*»^r Aw* |rriifr4>mn> i1f< Itarllnl. A»l»iiplJ^, -ItmMiTiL 
•k»l fith'ni. |irT*pnt« It wni^ iltv ■i^^rtnnivv lUna b'|iii'lli- I aiilvtwlF -la lt|iln fnt iin.dijn" |4i' Ir IVof. 
A'ni«»Dl «t iia la E^vtMH An MdhiUH o|iltfni <|iic JavMt iirmJnl^ ri> Ti«nr iir^MHar* hil na^'oulr^ 
tArlallv. 



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tU'iivstt mtfuj 


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■i si*S 






TAN-AMEKICAN MEDICAL CONURtSS. 



1241 



I 



I ilu In rliabiiir nmiiiiiil^ <liiii« Iv «aiii;, el Mvec tn iliflVrvucB ilr lii trmp'riitiini 
voir* IcKiLiig inAinpal l« n'riiiBinliiBTit uvterne. (rf) !.<!« pb^noiitJ'itu ili- ncuro patn- 
lUu (Mi-HlftUii n« iDiidtlliial |iu !■ i'»iitt>o iId« vnTintinn* AwriwionnolIuH' on <)n do*- 
cvMtv lid la Umpi'tatiirv Inonl* fiMvlll* ilit Upiu) ■(qI i-iilt, iiii miitrairo, Talliire tlier- 
tMl>|iiP K^n'rkhi tanx^ (wr I'lvflViiiti' ili-* ntitnH ilKirailiiiiiu i>(ir>|)liiill4ti*«, 

ijH VAso-MnTRi-RM NQXT t.K* i>i«TKiiiirnct:K> nTi'iuLTM^fne nic i-t chai.kcii. 

I« ■jrati'Bia vMui-iiMlMir tvgla iluae U iltatrilHitioit do 1u tliateur daiu I'oiKMiUmo, 
t>nlw|ii'll ri^ln I'ai'iiTit'' do p<pnt rt l« t«n dn* vniiMuttx. * 

Aii»ll>''t iin'il r^Xln riiydranti(]De iliT rarsaniune, il n^^ln parolllanimt la di*p«r- 
alon ip l» rliaUiir. 

mkau: r.s ukUK tkmpv la tuiu-XRHiox i>x u ciialrcn. 

.I'npiwllc ectt« rt«aluti(ia itii noin do pi^rtpli^riqno poiu bieu In diotinsQer de I'ltii- 
tm Ti'Knl[itl<iii iiiin Jn nniiinfi centrBl<>. I<a pri-Diii-ro ciit botih U KouTftnieniriil dlriMt 
d'l ■vxi'iii" iiritriix du la vU vi'KALatlvts landin (|n« rmilro rot wiuk lo uoiivcnininnnt 
dn «)al>'»>i- TicTi'oat d(> I* vl<' aiilni.ilu. 

Lp mviI-'iix' viwi.iu'itciir ml. n<'aiii»iiius tiu facwiir pri]ii<li<:xl da 1h nntrlMon lUa 
(i<iili<<B (livnui'imw, car it W'gU la rirvuLitioii dn )ila«ni<* uiiUitif ilaiis tv* vaaUtm en 
ttifiutl 1« IMi dt-a vniwMtaiix. 

AcnvtrA lUKiocrii dm <;KMitKii TiiKiiuiorKS. 

J'Mrro tu di>ii«li-Mi< (|nnit(on ; Lea FRiitrM tliermiiiami tncttPnt-Jln i-n rK^uUnn 
laiirarltvlr^ illii'cli<mtiMt nn pai Ici ■'■■Tilrm viuo-iiioli-nnf J'ai fnil |>ai«il|pment 
dra m-ltrrcltiui i-xpf^riiiii-iilulrn |ii>iir iy-<i>n(liT> rpttc iiui^hl ion. 

Vanr Mvt Uiiit diiulp. II fnllnll ■njian-r IVIi^inciit vitiurhii ■Ic I'^li'iiipnt itnrf (Ja, 
damaiidi* (■ariloii <lr i-i>lu> uuuiii'Ri d« mVxprliurri |>niii il^mnutivi rai-ttviu* dlrocMi 
daaiMMiirTB ilirinilqvna. 

KXrARIPtNCKS. 

J'ai (iratiiin^ imoxiii'rl^nrM dr U tiianfT* aiilvandt; AprM avoir nnU U IrinpA- 

ntiit» da lapiii arm liw ,t|>p«n<ilii lliArini>-i«f«rlrii|ii*a, Ju In llo dan* In d 'Iia dn 

S'lbwiilili ■■I liicnIAt I'ariitnal Milr« duiia iiii culicit- irurfait; jv i»>lc> riiniin> In Mm- 
pilroliirw ■Ian* !■■* in(nii>i jiojiila iiR'allliaravaiil; ilit iiniti jv plYparH la ■-amlldv I't ,i« 
anw dr iiitiivrBH I.I loiiipifralilrB do I'liuluial; J« liooiisiiilv l« tliulaniu (i|il>i|iii.- par 
la ln>-ihiHti- •[«!• J'itt i-K|i»o"-i- datiD W ptv^/drnlM |iiil>ticiitionN. ot j'obxvvo. iicndiinl 
no ■'■■rtalii ti-miiK, la o-iurhn <ln la tr>iiipf^i»tnrn dc I'diiliiial dao* Ira divur.'> iioiiita 
ItmUa |iTK<'''-l<^iiuirtit. "t aim's iliiV tli< n'rat olnvi'n.Ji' lli> I'aili'ra pisjpan'p rt J'oli>i-rr« 
BTianlla ralliin' ili-* iiitirtink tll>i|iiil']ii''H daRR Kw uirmra poliita <|nl «tit Mfi (tiMin d<-a 
Ir P<miiii'-tir*in«-iil <U> la n'rlirfilii'. 

I^v pUitrtii'* 1, tl. III a|iparliriinMilktl'aiilmt oxpi^rlnncva i[ii«> jv ti'al paapnltlti^ea 
djiaa laa pri^i-^dntifa ^rlt*. ei leiidMit h fMulrii pi'ia i<*iilpuiM lea Inditctlou* ijacj'ai 
(■llaa Bar •'•'lie dvKXJinii'i i|iicstl«n, 

KsrMmtn t\ <«Mr P.) 

I>a|<lu ■■>Mi(^'>l'<'. da iHilili di> It i;riiTiiinm. J" fai* lii iiiqfli« dn tlialaiiio npliiiiwi 
■vrr uiii- aliinklli' ili- I'nivai (I'iiilB )iiii|irA iixiilii' di' wi lonuiH'Or iiTfv iilii' aidiitlull 
l>-oitll>|iii- III'' utilise di> nii'lliirl Tiidut. 1,'aisuillc eni Fiiruuniri- <lo3uiiii.il*> III 
iituir I 111 IT I HI til'* 1 1I 1», «! tt It iiiiii. d<> la lira>icb(> (fiinrlw' dfi ta ■iitittf lamtidoidi', rn 
ploiiiiiiii I'uij;<iill<' •!■■ :J,(C •hi riiviron, Jiiuiii'it liiin.' pninlln- lU-* ]-i>tltn> arcoiKdHi* 
HlMiUli I'l .III NilMi' raleiiil)" uliiai pMidaltl f> luiuittoi aMilninital. I'li iliiiiiiuiil a la 
ItlU' il' a jH'llli iiitiiivviiu'iit* lal-'faux. 



/MlrtMKa 4>* tiutgUont lilkviawulairra il'llaliilnGa •*! tilnn i»Dau«. l«a riMharflMa A» 
1,aA*la*t tl^— *wf U* ^■liina n i •lii>«hL«ii* iMi<ni'n''iit fiifrpAa r<t |4n«knnit il'iiu i-iitirA^hl •!# laaf: 
W r««IHrili« •!* ratlbt*' 4r4 A^Aiym J^ififu'a I'lvvluvitiii f'i*rii|>lAL<- iIp Ib liMiildrc a|ii4H •I*! KiHitDlda 
ilkrv^a fl^itfirl, U |i4-ir«»Jiii d^ U jiiiUallo^ d** *<l[ii-« Ami* 1a iiirhnil»ntiiK lulliunip tU^ nliitii*ri 
arUa|ir«4larH:l«lifii ili* i"ii« li««a*rf« tl'4t-li*Ani«ri| ipii« tr-t fAlti ainmifiiti ri»twt-v*lli>ii lurnkilo* 
I ^r ^" fmili'im iJto-*Bf«la^n«. 



^Ik 




123G P&K-A3JKKICAN UEUICAL CONtiKESS. 

KXPKIIIURXT 111. 
II 1i(tglil.Uci |Huuui*i HiaUuuMflnliilon«l lUidilHiturfiauirf mnl Ih'W* iliUfoUM.) 



^v^ltil t<''l1tK] iK^fop. -orl^u. ..„,... 

fiini K1I--I .in>- ••ti'ii.iri 

S'4'4inil jH>ri*H] 'iirp'1 ri^f^ijim . .,.,_».....,,,,....... ,,,..4..., 

I'hlnl |>rT<<'l nri'-r HTllnil - 

fuuflli i^jrlwl *ri*r KTf 'ilun ..-•.•■■i-.-.i. ....<->--'- 



B.P. 



as 



e.D. 



u» 

M 01 



11.T. 



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mo 
m 

loi-a 

101 
ion I 



Rnilhiji nf 

bniw. 



101.0 

■01.0 

ivl 

KW.t 

iM.a 



KXrEtitlMKNT IV. 



Vlr*<l iwrt<Hn>i>rorT Mvtiuir ..,......,■■■•■•• 

Y\ml iHriml hot^ni ■*rtiuu - , - , ..- ...x.,.,,,. 

i^ir»l |"'r*"d ftfli'i i'-<:ilj'<( ... 

KJril jirrlinl jfji'i ■*^ii(i'-i» 

FInl per till itM'r ^4(101 - 

FIntiHriodaniraMiluD. 



n.u 


Kit 


1M.3 


HLM 


wn 


101.0 


H.30 


MU 


M>..t 


ffi.a 


N.« 


W 


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<IS,i 


M.M 


KM 


u&a 


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a.v 


ft 



101. a 

loi.t 
u«.a 

«0.] 



niflciissioN. 

Dr. ricyei uiil thut ih«ro waa iiu mniii Tnr fiirtlifi' >U>tilii <ir ili(> «xlai«!Bre af 
R|H-cirt(' Iir.it-;ir<iiliii'tiiK' lii'iil-iliiHiiMttitig. Mild ii«il-iv(tulutiii(; it-iiUYi iu Ibe limhi iw 
ITcll na In tlin apliinl ■'•int. Ill tli*' c.-L1(^ nf thi' limrl ua<l ilf< noccleliitinjc noil iutillil- 
tory milrio 111 lli<- lunilulla, wi< Itnvn i|tiiio nn iinnloK""* ■''inUilluii <>iil.v, i)inl wurk 
I la ]>r<»lTicri) b_s tb<-H< r:>iilin<' I'l-mm ulih'h iin> ilrtinitety luiiniml, iiml In tliv mmb of 
till" bit'il rniirBiii lirjit IK jT'xtno-J iimlPT nnrmnl comllllnn, wlilrli I* iitilj' Ktiiilh^r 
form of til" Miinir' ■■ui-ri'.v. In ntif ■'imi' wn nbMln irf>rk by <lii< pi'i'iill.trtty ■•rtlm mu- 
nt'vllim of tbntowiitPTK Willi )i<Miplii<ml oikoh^; i" (l>« ■•llior nixii nv jiIIhjii bual 
fur Biiiiilnr rravuiiit. 

l>i. Hiu^iilliiKi (•bwti'iil ibiil iu vxjwrinjvuln uu Ibc rculml ui^rvoiM lyiibiu uiiitIi 
liior" kn)>|ii>i»i IkNti whnl n|>p<>ii>Bnii thv itiiiriicc, iis ih 'Iii^mi t)]- Ibv ccmililioii nillnl 
■■flhorli.'' Thia I'ooiiilirulis lUu nwiilUnliluiaui}. altli<>u);b llin i^xpcrtninita of Oit, 
Rolrliprl. naii Qlhinii'haviili*Unf.tljihalltiexe nro "<viiI<t«" wIkdii- fanctlon l> tiiat 
of CtinlrollltiK lliu I'KHliicliou BDil dluliHttlan of brut. All wlio liitvn ■tiidlnl ibo 
klatory o( our kiii>w|i>il(cei-f tlid viuHi-iiioliir riMnern will ri>iu"iiilH>r tlx'iIlM'KMioiiHiMi 
tbi> i|Uiintl(iii vl Uiii vxi'tmini •>r •uIiHJdUry vHxn-iiiuior f«iitrrH In the ctitil, mid rvtu 
nliiiig lhi< UliKiil vmwtIb. Uuny of tlm r«HiilM wliitk kiivi' Iiri'ii uMaiucil ill tlioM 
(■xp'-riiiientii kava bi>viiitue(o "■buck.*' If wr bi>.ir in iiiind. Ibun, Iknl n Hiinitiir 
r»ii<HUoii nmirrliiji; iifttir fXpt-riiiiMila »n t)i<' rcnlml i»)n*i>ii" nyiiU-iii aknuld iunnllc«t 
ItM'lf by 4"iiiD rawilU wbick iin»<lt>ly bnvl^ li«'ti nt.(ti)><iii<il In iiilliiatirlua tli« ■'<iiilriil 
h««t '■raiiU'n''i>ne may, for all IfaLk. wril bi>lii>vv in tlio ii\iat<'a<-i' nf iiii-k <(<utunt, 
AlUioiiiik wi'uiiiy riiTtlirrulbm lUot tli^ir ilitllmlUlliitiiuidlm-ivlii«EloD b*ve t>ot Imvb 
exoelly dcumomeil. 



I 



« 



1>AN-AMKRK-&N MEDICAL COXGItE.«e. 



1237 



I 



I 



aOW DOES ATKOl'ISK CLEVATB THE TEMPERATUKE OF THF. BODVf 

1^ ISAAC OTT.U.U 

If aUoiiine i* givfii lo hii HiitDiiil it will can*« a riMt of triDiiFtntitrp Vkryinj; frani 
l.ri- iiitj.H r..|>ruvi(tr<1 tlie h^uiticrHtam of ilic amiocni nir i*elcviii«l. [(,d<inn||> 
Uinnlnvslioiior li-ni]wtnl«rp. tlieKcUlJc iBi>ltrlticully irritute'l. nnrciiri-r riiH>riu>n<«. 
Tilt* Mt* aflirr Bdiiilio trriutioii >■ not midrlpn iu> nnnautl}-uki.iiplac",l>iit tUnifiTnd- 
uat1> nnJ eitutiniir'i ufier the irrilati'in for luo liour*. iilVr wliirh it emliiall)- CallM. 
]l wiko fiiaiiil llist wliiln ili^ t«rn|>iTatiirf> via*- rUiiiK thn iiitorl:>l tiiiitloii irnH railing. 
Wbitil il w<u il^iti'iinlDril l>]r llm riiliirln»'li'r. It rt:i*. f»iiiiil tiinl tli<< liKTi'ivt^ ol' Ivin- 
fHitatiiin wno n''riiiii]>uuii<>l lijr nii iiifrnMrd tiriMliirlliiii iiiiil itii)(iiii>iii<iil <liK«i)i:itii)n of 
bonl. I luivi- burial i>r<irr. iMi 4rr'>iiTil of lbu*i<miil ■liitKilitiit iii'iioii iiriitr<>|iiii^, hil'Tiirixl 
UuU tlu> nti'Vatiiiii i>r ltii< luu))i''iiiliire Wilt ilili- ('■ i>|>Ii>hI ■liiiiiilu'iiiii. To rxiiaMi- 
MOHtAll? I If Ic nil HIV I III- wnl uruclimi I li:>t v um-i\ mis wlijoli uri- well xiitnl !•• «Ii«k 
tile ■•li'tatiuu of lcii){iBntiire- Thirlpuu ellieriuwnt* ni-re pcrfiirmi.'"!, WIifii I)io 
riMiI wiu itnl III Ibo Hllaa «nil •tro|>in(^ iuji'ctrd jht juguint llfri' nim no rtae nl' t«m- 
iwintiirr. KnTTjl litpnuli-d <-\|ii)riiiiriili' diMiiuostrnti-'il (but tbi! riM- wn« oot Rpiiiol. 

Tin* fii->t «<|iriliiH<Rt iriu rondx j>fl4ir ii tTniii>rRr>o ■i-cti>iii, Jimt ia fmnt ol Ui" 
WNlulln iililifiittnia. lUi< (mr<>li<l* lii-inu |nwvloii>lj H)[at4>il; ibrn a t1*o nf tMi>]H<r- 
ntiir«eiimi4^1, atlcr tb« ■i>u-i>r:t(r(i|iiDu,(ifii limit 1 . Itol iiornially » ri«»ar(Mii|ii'iHluiv 
RBMira nni^r M>rtiini In rimit iif tli« iiinliiilu, bi'vaiiv) t.li« ^I'lkl t<<):iilHtiii); (viilvn of 
Uif lirnlii bi><r« Iwvii onl nff. Iliiw uti> no iioir li> ililfofvritialo WtwMii tbu noniiikl 
liHi •ai] lb*! ri»infI«rtlH>dni|;f Afltr Ibeiilropmu tbo rUi^ ih only 1~, Itnl wben the 
uilmara iii>tT(i«ii nynlrni m iiiliul the rltn ih (•rt4'ii it.H- F. I bum iiUu niiido unnin 
•trllmiB ill {tout ■•( ilii> tiimii vamlii ami ul^*i'i iilnipiiic. Ili'tn wk bIiu Uavi- a rUr of 
I rill pent I II n< vitliuiit altnpiiir. With lhi> HFnipliie thr hljibriil riMi wna J.2 ' l'., nrior 
HTitiiii III friiDl tit ibn piinH, wblob Is nut iiimf Ihnti kkiiM bi< ■■\[MTrl«1 tioriiiallj. 
AflT ■■nr^fiil (•■iiridi-rati'm iir lhi< x-miIIk, II «ifioK toiiioilinktili lii«|irak Bontrntolr 
W 111 thu i'i<r«t>ral rciiirr HtTiuloit. Th« nItcUl ri"' "f Ii'in|ioiutiiri' iifTrir piiiicturri of 
||m> iiMuluIln >ir puiiH viirnlil in Ibi- liiM'il liavi> iml led iii<- (■> I'l-lk-to in tbr iixiolxiice 
nf lbi-riiiij;eriii<- n-iilvn in lb<-Av IiqiIJih. ITnlil <ri> hiivu ili^fiiiitrly ilrti'riiiiiicil til" 
vKBlr*iirfliifrb"nV r«iili<r4 ill Mi«'iwor^uii«it lll^elll^1l> jih* imcIi't^i 1o iiHiriEiie tliJit iilriiplui* 
art! il|>»ti Ibi-io. Alllimijcb ii«t ilirwlly ronupi'tn-l wilb thiii mibji-rl, ji't I bopi- It 
Wtll (lut Imi iiiiiIm Iiinpi'akurtlio vutni' nf iilfflpioi- ill kIioi^Ii, ii* in llii- iiiui-eitlliu papnr 
I banti ilvaioii^lntr*) that (liiitni; lh*> lliat bonr of nboi'k bi-at lir»(t<ielIon U unnrly 
•vnr, ami >i>nlro|iliti> In nu nii|iin<'nli>r«f bi'nl pniiliirllon w« bavn nn nddllionni ]tT«ur 
of kUbi I* jiliMitli'ally kiiiiwii. Hint alrDpInf In of jcry^t vuliia In iibni-k. 4'oi<alTii' in 
•lae All ai-c»lrtnli>i ot biuil prudiirlliiti un<l wonld wllbxiltdnubt bu ul' jjTviit utility. 

KXI-KlilMKM' 1. 

ICMi IrMbaMoa/i siilfulMnliuiJiwI Mnwallai.| 



j K. T. 1 * T. 




■.T. 


A.T, 


1' u 

m to 


V. N. 

< US < /, |p'.ar*IRi|ilno pirjufnktl 






J •'! im - 

Mtl*f"'"'"M-"»*i"' i 1'" 

" 


141 

10*^4 

IOt.4 

n 











KXfKIIIUKKT II. 
ICU' InrhMUaajTi iipUialiH«loiitMa(«lultWloalivrt/*M.| 




PAN-AMEKICAN MEDICAL CONGRESS. 

EXI'EIUMEST III. 
IhlH lis>ted : (nu'lieotomy; tnuiiversd nMdon nt Unin .iuatin (Voul nt niwlnlli obloDBtta.) 



R. T. ' A.T. 



M.T. 



1 I 1'. H. 

loa.i I HI ■ a.-J7 103,2 

atroptnp iwr |iij;iil«rj.| , ' ;i.aT ■ liK. i 

, IWl.B M I a^T ! 102.1 

I UH.i L. !l 4.15 I 10B.6 

nw.D a 11 4.:i:i ! liw. 1 

1 M 



Atroptbii ]H'r Jii;;iiliir) J--...- ii 4J>S 



A.T 



KXl'KKIMKNT IV. 

[Vat; rumliilH UaiLlcilj lnic1ii>oIrmi\ ; ■atIIhii Jiiat iti frimt iil' m»Hlnl1n<i1iti>Dgnla.^ 



iw.a 

'.cit'0trti|tm<>p*Tiiii:iiLiir) 

IIM.I 

; lilO.l 

' 101. H 

111.'. 

, iw.o 



J' A M, ■ 

•10 ! 11.07 r 105.2 

11. m .' 101.0 

0*.^ I 11.10 4,'jif:r. ]WT jiiifiilur) , ....... 

•J) ' U.K.". 10( 

■ ii.ai) , i«:i.t 

11.35 ' loa.j 



»b 



KXTEKIUEKT V. 

MAih li;;ntt.it; Irui^hHifoniy ; tnttiHvt-rMiMiHslloEi uf l.raiti jiist iii fn.iil or mcilnlla i.IiIohrhU-I 



vw'lic.nl I 102 

M..'tioH) iiai 

IU3 



go 1] -i.K I IIK.; I 

mi ' 2.M , 10:1.1" Kl 



KXI-KIIIMENT VI. 



' A.ll. 

1111.;! 00 ; 10.13 . 

lOH.U I 111.17 . 

IIIM.M 



lOI.B ' 

IIM.G I SO 



KXI'EIIIMKNT VI[. 

i ('jirodilrf Ij^iiti-il; tmr'hiNiti.iriVi Itiidnvi.th-. Hn'ltoii lit luirj.rioreiti^. »f ]tnnn van»lli.] 



I , A.1I. 

TMi-tloil) I 102.4 ',:• r 10.37 100.4 

-cliiiii) I 101. S I |t 10.4:1 1 1110.3 

100.4 I iri r II.IO 1110.7 

IH1.2 I H5 I ll.ai ! lilO.K 

r.utr»|ilii<-|H'r jiimiliiri ..' ...I. 11.40 - 100. S 



e* 



w 

M 



KXI'EBIMEXT VIII. 

rafitiild lrf;fifp«li tmrli«.o1i.invL 1riiiiNi4.r"« Bi^H^tii.n at Liiili^rlcir t^ltf^^ol' lbi. }ntnn vnrnlli.l 



. Htn>|iiiu. |"T jouiilirl 



I 1 I I'.". 

.' 1(12 ' !17 iX' 

nei m; I V.44 . 

.1 imH I lis ' n.M . 

I 102. K I <t* ■ ■.i.m . 

r ;i.27 

.1 10*.:. d I 0:1 , 3.:io . 



10.1.2 

HK1.2 

1U4.2 

105 

105 

105 



n 



M 
w 



PAN-AMKRirAK MEDICAL CONGRESS 



123!) 



K()rV^XI.Bt» RKCIII-^ROtlKS SCK LGS CKT^TIIKS TtlKIIUIQl'HS At' 8VJF.T 
UB LA TllliKMUUr.KCsiK TtlKRMUltVNAMWt'B. 

^^^ l-W ta tir. U. BAUCLll. J 

^^^F (■(Nf.ltAI.ITI' SI'K U. tH<R\M»nt.Si3»9,. m 

L"! MniiirmUtiim lh(-niii(|ii«n Dent li^M mix phi'tinnii-fln* bj«-etiiiiiii|i>M iiiii m> 
jiriHliiiKmit ilniiti 111 t^xliiNi ititliiii- Art tiiwiiH, LHiilliieiiii* illiKiiiidurnr dii K)at<>iiii> 
luTVi'iit, iial ml !■■ jui'micr (.ivtifTii tiatu !•■ i»^uuiii«iivc i\f lit t-'uiiliilioii ■!« In rliiilriir, 
^■t ■itiivi-iainr iiii -tt |tli/naii>i:it<Mi. m 

Vl.li trui|i>'r>it<ir(i >l«i ■•t^aiiuiniM iiVll-vi> mii* i<na>i> *t\im If prasri-n Oiw pi'iTtlolli** ' 
mo ant nnfiiitlx'mii-ii; ilnii* nu> itrriilora 11 j a la r/K^'Bt'oi' ft*' '■■ Rtinldii. OtiA 
[ijiiirtlMi ii'«|>|iimlt «lan» li-HcirKaiiUuiMiaflluiniixsl l<i •jslmiin iicri'i'iii; n'li |>iisiabiiiil 
uiu> ji'^f^i'tiiiii, Milt ilmis I'^tuiIi'gHUiMi (1m i^li'mviitH iit(iiK^ii/tli(iu«, aoU rlitiiit •» 
*lTUiT(iiro lulinie. 

Tout mU Ml liiiincUirfln nanuili^rHnt la <l<<ri'liii>pi-munt An it>'ii(>-ui» ni>rT<>iix dium 
)<■« |M''rll<>(li*tiuui>, f<l ■K^niu itiiiiH liu. i>Rii<i>lbnriiiuii. rii rojtard da pro;;ivMif |>i'rfiH!- 
tluiiiiKiurnt '|IK' vr> kjrHl-tiir itiigiiUil 't»i»> la pi'ilmlf- iln il>'V(>li>|i|>i'iiirnl iliu ili'llKVi, 
rur |<rri(lsiit <|ii(i M> ■]i>i'rlnj>|i«iii IfH |iiiaviiirn ■)iil I'liiiiuitil lit tlicrtiiiit;t*ii^iH niiiiiutti' 
■n |vrfi-i' I inline In tlirTUiu ir'j'uliitiiMi, vl lit t(tii|t^intiil>> ilivi ii>iininlix mliilli-n hVc'iI" 
ftU Arfji i|i<i ni<i>iir1i«iit » lit rlitiH f\ u IVnlr". 

Ia (■'it<<l'<'oB ilii'miiiiiKi ■«( 'liinv liV^T nil ili'viili»pp>iuii<nt H. nil )>t^ffl•l■tjaHll41m>■nt 
■111 ■ikl>'in>'i)i'rvf>iu. 
Mninri'iii! rtincitDii la «y«(i^iii« iH<n'ei)i IVvpll'iii* i-o Wa, iin piirT<«iitn« i>l tior 

loiiH iiTi'rtliHW •iH'riitlfvi. nil Rili'ii^ pir iIm ini'riiiiiHtiiivi iiprlrjaiix f ■ 

Kxial«-i-il line rugnliiliufi llwliiiitiiin iuitrpuuilinilc ilii Bjsliiiit- viicn<iiiAl«iirf ■ 

KSISTK-T'll. IIKSI-EXlUKfl TIIKIIMKJL'IU f \ 

Vnltit 1r« qamUiMia (|ii«> J« iw itnio )>ri>)ia>i< iln Ttfuiiailm nprhi iIm rPclirn'liaM rxpt- 
rliitrnlalnk. 

Kiir U premium. |inli« Iini b^vnuM il« I'lvthMin cii Ikib TexiHtrtiPB ile ocuItm llier- 
ml'iiHw nal la-uiii-im|i it»til<iiiwi, mrj'optnD i|itn !«■ jiliAioiui'iKv ilV|A*iilii>ii n'l ■ruhiiiH 
•ruirDt rl(i In liiiu|H'ri>(iiiv Jiioiii'a pr^aonl rE(niiiii«i<« koiiI IJ^t ft ili's il/onrilroa vii,~>- 

|,V\iMriif>r nil niltiHtrt iln* m^MM OMiirM daiM li<« DilvmaM ilu I'mlbinii kii liaiil Ml 
■tn (all luattuf, MMir^ iior itm rMi1i«raliP« eiiii'iiiiM'iiUlM, 

'lKI'tlVlt)|-K KXrfllOIKKTAI.K. 

J*al rlirrvhil A rnuiliitrr mo* roi'lH'trliua nur ih' unji't iliuia Im I'nDdltlona ■■« pliin 
|i1i}ati>(i<|tt'|i>ni|i>«i |iiMilli|i> itp J'uiiitiial: oil liii'aliiiiuit •■xiu<lMii'iil In toiiiiin |>artiMi' 
tiv1iiiit|unRp^ciRln:* KB tiiiiri|iiiiitt <li' ooiittiim llirriiLii|ii(«ni>riS»iiiirInii|c>ip ti^rl'Hlii 
fl'iilxH-rvatKHiii 1 ri nil tiiuitit ilfM ptiiprrH ajipitn'iU ilicriiio-/'ln'lrii|iirn. ilmii I'liti it cli' 
rniMlriiil A dnurin. 

Vraiiuiiiit ]i> ii'm ■•■« «K^ ilaiM la lerl)iii(|ii" ex|>'rini'-iilalF la tn<|iiiiialinii ct In 
rbliiriirofiiilii.il I ■Hi rii I'linialwiiiil lira laplD* lr>-H J'IIIim, rl rll ayniit nKfuTnVBut lijiii 
AlixlMl In mppitii tiipi>tftiiplili|Uit (ililrfi tr« K'uikIi""* '> '" luiu> ilii irFVi-nti xl lu 
miitfrnrr- vxirjiH' i\b lu U-li', J'al p<i It'ori' Im ni-'tiipH };iiiiuruiiia pxr itivrnM niiiitl- M<«, 
diinl In pliia Mnipk- i-al nvtr aiji> hiilitilp iiij^inlU' ili^ I'mvaj, ri>lutV4< fi |a |i»iiilii 
ai>u' iiTii- ■■•liili"ii ■(■• ini'llijtl vii>l<it tiiV Hnliityp ol iii'i>li>->' r*|ililniniiiil . l.>>rU|uVll« 
liAimorl ni'ii (•■O"* 1^ livvrr* l<v Uuak, cells nisiiilh' niniti nppTi'>U« In rtiliiii, el A 
ri»lilHp*l»iln)'Mil«in|iiii iMNliUiial v)HFl»|HMKt il'nWlil«l'ul|tiilllii, rt niNi In^t. 

• V-ftt Suta ^lanlli* "Oiiiil Trriiii-t, " l.-ialui Im). 'I1|>. IUI-ai| ■> uHimiiU nlliUiM- iMIi 

I Unallil IMli|>iMlwl«d« TiuuiiutoH- J 




X244 



PAS-AMERICAN UEDICAL CONORBSS. 



Pnnr ri(«ouilr« co d'nilv.l'al •xp'rlm*nt^aln»i: J'ai enfoac* l'nifniiU« tb*niii>'»l««. 
Ini^ttu, tTAiupi^ daiL* In pnriilttnc vt koi^^ >^ "iio ti'inii'nitiirc eonalMiti? »vw) IVl'ive 
(I« Mvyi'v. L-t j'ni Vin,iuiir!i noli^ iiii aro )inlriin<>iiii'lTJi)no rnniitunt. 

Ilivn, t>i>iii>|iiui iliioi li"* iihsFrvatiniia rlit In tnmpi'ritliim dv rmiliiinl <Iaii* In* rondi- 
tiiiDoniiiiliti-ii. itvoni'iioiit dnt arm |[ulvaDi>mi^lrl(|im ijiil vntirnt do I'liuk I'snUn 

Voii'i 1i» rni'hpri'hn* qiic J'sl TalloH: Ayniit. tiir l« ILomk iVnn lupin. )i|i|ili(|ii/ I* 
annlii>i[rapUi>, Ji-n><^ii>>lllt*i>tiriini'ylliiilri'mii piir lu r^x*''''"'''''*^ Fu>ii';iiiltlH i^Hfdlo- 
|[Tiiiiiiii« (>■> cyliiidri' arlirvBil nil toiiT pendant S iiiitiut4v<). 

Hiir 1" TJinliii^'niiiiiiK' Jc rviiiitii]ii»i nuv ritiiiTvutlc rtitru Ic* ileus onlouii^M tjraWH. 
Iii[iii<« I'liiit i-Ti m<><r(-nue prMii)iii> 3 inni. 

CV-nt pciiir vi> •iiiViKiiitr je dtspouii l« niKtinl i<lDetrii|un <U Depr«U «n Ib r^Unl 
ar«r iin ini^troDoiiK' Ae TfIIv iiiHiii<-rn i)it'il Irotut. sur In m^mo <:yllndr<r nii>' ruiirlw 
(linriiUrto uii rardiaxtniiiMirr) nvi-r nno ■I'-rii- <riiitrrrii|>tinTii •|iil w> iiiiivitidil ii il mm. 
d'mtxn'iilli-, c'r«t-&-diTo lu dUtancp qni titalt «inir« la* dpni ordaiiui'i'a nyMAllqiim 
dti canlioj^inmni*. 

Ayniit attial ill>p'iai< Im rlin'r*, J'onfoiiv'Al biiiir la ponri )'3i|>iiill« lliMtuiO'^lnr'trlqnn 
daim li< iT)i<m<^ iiii>itivti(< •-■■uipl'^iotit Iw i-lroiiil «1pri.ri>|iif< mire Iv iiiamdhmuo ti l« 
Mxual <'l<H'tili|ii«, 

II e«t bii>iii^vldeii(i)n'aiii«l k>* intvTTuptlaiui <liiai|;iiu1 ^lMtHi|U« ^tuirat iitan|ii4(« 
■ur l« I'jrliudiv, •|iio dr «.vHt')lm ilii F'pui du lapio. toutea Im 6rfa qvn I'lwtiTK*^ onr- 
diiuiuf DP Tariutt pna pnidaut I'expi'nonut-. 

Dii-ntAt Jrptiiiroiuanitier <|ii«)<> t'iirdiox^"n"ii<'i ii" plii'iournmiiroutm. polncidalt 
(pour la aPtlo dn* uriloiiii/** iiyiitoluiiiM) ut<h! Im iiiterrnpttoni ilii iil|[iial <*lDetriiiie, 
ol ell do tpU rniieimtmi raL|{ullli' thirniio-i^lvetriqnr notult dfitn'a rnpldna cwrll- 
latluii* de lu (nup'^riitani, rviuliica tT<i« I'vidnnton pur lU^ hI'i-h iinlvunami'trliincii Ut% 
varinlilr* mir le pliumii. 

<Jtii>l>|iie diitiK ri-tli-frxpi^rii-nri-l'w artlvil^ vimo iiuibkM iiuaoleiit piu tout t\ fait 
/lliiilni'M. ni^aiiiiiniii* t'U lu I'uiiipHr.inl mw lev antiwi touiir^en i>i-devaiit. j«> vrob 
(|irnn peiil ru iiifi-rvr •!»(■ du tirlte* vniliilioUNiii auaaililuad' l'iit|;u)lle ttiifTmi>-ptci-- 
Uii|iip siinl r,iiini>tM pur I'lirllvit-' il,\'Uuiii(>Ki-tiu dirtwbe d(w i-untnw tli« luiu)^'' ii«« 
banllnirai. 

I.A irmiieiiiiihU vnrialij|jli< dca ■■■mp/'ratiiroii lor'itloa i-aL nii fnit i|n«]'ni reiuMri|Ui! 
anirerou. 

Iji variability Ap» arm |[HTvaiiain4^li'li|iiMi <«t /vlij'iih' en pai«>:>iil ilc I'liiin ii Vauln 
filiMTiratlnn thnrina'Plont[i>|iin. •[ii«|itn'r1l«K fiiiMont onvlraDnAiN ilo U>al<'<- Itu llnpaao* 
1)1)1 Mint nnlooDi^ea piir IVlrctro-li'i'litilipln. 

LVltr varialiilit^ varle «ii frtiiinm lliiiik'*. •giii miiroiit vu gfiifm} In I'lnirlii) Uivr- 
iBi4|iie iiaoi-Diiuniielle uu de deaertilc que I'liiiiniul itiuutro pnidaut I'exp'^rieiipe. 

far liu pxp^rieuceii KiimJilcn «! pur Itw autrvH<|ii>- j'ui piililiitm anpiirnvaut, j« nrola 
iiviiifdna iHUwoaolJdraetje/nIs ft lu fi>i« aiiloriit^ & roiiDniior tout I'n quo J'ai putdlrt 
dnniilMaaiiieapf^«6df)nl«n«ur lu foiieliuu tliirmiijui- iixVialudca (wiiltnn iwrivux. 

coitni.L^iiutM m:k la iiftoci.A'noK t>K ia riiatjit^B. 



A;rant df^noiitr^ riDhlbtliixi t,)iermii|ne onrtiealii Hur Ira reiilrot 1<n«iluiraa, da 
ni'^ITii- ijua 1e luaulniii (nrltuu) n rinhilijlinn mir tmiH lea rentnia niili>iiiL>lii|tren et 
ntdiimii'a, qiti Hint nii-dcHiMu iIhuh In ti^viuxe. tl ivt >>ien eluir*: <t) Ijue la r<';,'ula' 
(ion d<- In piialcur eat dne ft )V'| nil i lite eiitle dcs fircrti iippiml^es <|Ui ■'«x|ili<|ueul 
rutin \r* d'Hlrra thonDO-tinMilulni'* [llioriuoK''"*'*) et '" rmiriTa rorlitu-inliil>it>iinw- 
1b«Triiiii)iHuh, (Z) IJtte iwlini lu pri'poKd'mnra dc rnrlivili' r«iirli(iiiiiiitU'drH pr<'inler« 
•ur h<* autre* II y a bjiutrllteruiic ml h.v|i<ilbenuit>. (3) guc la lOinnKi ilr* tniHlimft 
dynatniqnea, tliwniiii)i)i<a el jiarlli'lleH, raiis^M pat I'ltritulliiii dr idiariiii do* reutrn* 
lbenuli|noa, ihiil fUn dgalv ft la luuniuii dr toua l«s euuliua ft ruiiutluu boiiioluKiM. 



Wr-AMEKICAN MEDICAL C0KGSES8. 



1245 



Votol raffat BtilB (jnl rAwiliv d» I'Airriftn dn ivlo cwilrM, a>iut>'i)l*A n<r«e La 
farainlei 

<rr,+cTi,+CT.-iT (•+h+c), 

i>ti IT nl l« Rfinhulu il'iiii oMitro tli^raii'ini-. d a. t, r •i?ut In* oyintiDlHi di< olin«iiii 
d» ■'oiilti-H Hiuuliln (<ar|ia Htriitloiii, l.ltiiUitie, cti'.). 

ViAe\ U ri<|{iilBtiuit iiau J« uainini] ot<utritle, ilauti le tluinnino ilii »y«UiiU) tivrreitx 
iln U v<« •niuulo. 

mKcaxkuik i>k i.a kIUi('i.atiok i>k (a ciialkvr. 

l1iynla)<ii:i<|u«iiMint U fuDotioii ri^t;iiliilrir« rio In <'hnl«iir *»t nii^ mufs pour «n 
■iMiiliv In ii»ArJiiiii|U» J'nj dirUi^ IfH (Isiix priiici|>tiux iiii<t<atll»iii«s (qui >uiitt CouC-ft- 

Jl mas lit ilDiiiainx ilii aynUiiioiKiivciixleii 1i>n iruuirc-Hi|;iiaul &vi.>u l« nuiii ilu t^ga- 
IrIIoii ■'riilrnl'' xt ilit ri'tEQlikliiici prrlpli^riiiiin. 

('<vl, Mm |>lii>, p>( oil rt^TJiU-iiie ilo roiiiiionihalioil phf*li>la)[lqll<t tWji liiiji'irtaiit •|ili 
nrrlv'< |Ki«r fiilio aci|iM^rIf k in CMnp^intiiro milniBlti [iluiii l«ii hamifuIhnriDut) iino 
luiiyviiiio I'MitiiiiiiUt. 

I>H rA|;>iluili»i iiiiluEiiiilJqiio il(« vaiuie'tiix iailiiu iiirllrM'lvniirnt aiir In runncloii iIm 
pculmi llii-fliiwilim, jHiiir riiilliwiliMi <|ti*» mir In iititriliou ilm lui'tiiL'B. 

Vui«i Du Imii niilriltf eattv r^stilutiua coiitmle el n^gnlulinn pi'riph^riqiic; e'tat 
tn linn li«nn«uir|iii> piilm U) HfatiiiniT norvenx An In vto nnoritialo nt I'ltiitiii Ac la rie 
ti^K^iBlli 11. Mala il y ncororo aiiaarre liim, Iii r<ioi:li(iiiuH. 

C«*l pii'i'k'^iiu'iii <i< liim lA iiiil iitiTi-n t'l'vorcK i-i'ti'tiruli' avni' >um ncllvltit rnrUi'"- 
knlill'llrlrciiiixri-titiivUiriinkqiiK*, liAKkliilit«, (»it tli('nii<>t-''U«a^i'(iii>ni['a-iiiliilii[TI('e 
mix i-oolti'd v^uuiiwit*'>irB. 

t*iiiiu|iio 'nan VDitn ii'll/«lii«fi tin mm iliM>tAllti|iiDi tliflrmniiMa di>tvi>Eil tlrv toitt''l> 
rail ilHtiiis"''*" pur l<u niitr« aani ri1di)uIiK'« dua nran ilia-itAltiiiara vnioinolniim 
ouitlrniix. Tiuiili* que Ion prciiii^nii voiit mix ri-Dtiva buailuirioi tlii^nnQgi'iio*t le* 
wiUv* vunl uiix ciiotrua VM*oiiuitMin> du bulb*) «l <l<i In iiiDollfi <ipiiili>i«. 

ri^KCMR BNfUCATIVK DK TKI. MCuaNIIUII!. 

Tntik Im tl*-)!! iiysli'in'ti il'nKn dla>Wlttqtii>k, ■[iiui<in'i1« nirot tpl lim inlliiM^ 
Jixiliwrlit il'ilii uiitoiiiatiBiiii- roiiutionnel doiu l« (luininni.' Av {'iiciivit^ puTtka-iuliiU- 
trlri* ill' |V«xirm ci'ir-iitali'. 

C'nt |«iiir>l'>Ulai»NiMeiii>iiMMi|itA In fitruUitd'^rtnlUhn-rntiv la prail lint loll Uii-rral- 
qilr pI In ilHtnirxMifi ii(lMliiiiltmpli<i*loli>i:lijiii-* Tnn iiiiiiili"- •I.tiix Im ^iiiiriiiilx nt pliw 
ni<iiirr iUd* I'll! •Ill me. qui ii to ajrAti'iun (k ro»riliiin(iim In |>'ii'' p.iffiiit., ilati* WUit kn 
tui'EaiildiwM f'-ll^hU onlooai^. 

1^ liUarbo V mill bii'ii dnir t» dynauijiiia do U-In lu^viuiiiniiiM. II fniil k ta fota 
dlf«qDi>r)i>i|aiMi>iitTC ttivriniqiio (Ui«nni>|^u« uti Fortiio-inliiliituUi!), (inniiiv tousles 
•'mtnn iii'Tveiit, oat rt-Tiltw A'au ntc dia(itnlti<|iio uveo diw vuieH inciilvulvH et i|m 
vtiiMt tiWrlilM. Uro iiirid"iit>i Mini Im tlirraiuMtiKittvoii ct rllu vont uvt« lea vi>:ea 
dr Willi.* ln> rvll^liii-* wtiit Uirii (liotiU|;ni'i«. wlflii qii'"ii tnit» dm coxitn-H ()iorim>- 
luhlliltolrm iHirdi-iiiix. mi ilita rrnitn<' Inbitiilnin-t isirili-iiiix aux vn*i>ii>iiti>iii«, on 
npr^a Idik ilr* ii'iiirrx lln'nii"i!''ii*n liiMtliilre*. 

I.m vuina ri'tI'V'lilm do ■'i-x <lcrii<eni out fili dumtiiiU^iui (^.tpl!riulMltB1ellleDl, tanilia 
qae Ir* v<i4i'N W'll''rlilr« uiit wlitrHH ilo I'l^corci.' r«Ti-lirHtu HUDt B'tniiioi arei- aaaiiilt 
JuKFIIidDt Pl^iint 1i-i nirmen ViArH |>af iMqtirlleH nu iriiUKinat In iiiliiliilion dm ccntiva 
rartlrBiiK aix poninia niiliiinnltiium i»ili>(iDi.*a uU il«*aiMiN, aavoir: Ina lli<triiK>K<iDa* 
iKullnltM al !«■ lamumiUiun. 



■ •>• ioIm 4» iMi ■■■»>.«»■«— Ih vmIhi miiiilrn* •n( la lUeunMllaii riuia Im pTrantilm. •* 
(Bro>B< «lHl b hvIsmihM pyniiiiiUI M|M<rli'<» -In Unnnt. Vnit p»X' ^ "t' "'■• iKil-llmlon. 1*r* 
MUkw iWl- "ttaMlalaiuieaUl Unolnl BHeiUla iiiiar«galMlaaiiVEniil(iit liiiUyiuiijDat«iUlaUltiuu 



1'24& PAN'A.UEUICAN MEDICAL COKQBESS. 

Pour telH iii>'r]>[iiHmf!i lit iinxhiutioii tUurmii|iie eat rt'f^li^e par lu Hynti-iiie tl'ilrcs 
(liU8lultli|ii('H tlienuiiiiieH, i]iii out l»ur centre (Iuuh Im uurtico-iubibiUiireH tlicriiiii|iies 
tit <1iiiiH li'H tliKriiio^rimH LijHLliiiL^vs, laDiliH <|ii(' lu djnjtersioik ont r<^^li'o p:ir Tiiutro 
syHti'iiiit (['una i1i^u>lii1lii|Uvs. i|iii out imiir ceutri>s Ii-b rnrCiuo-iiiLiliituirex iiii\ vhso- 
niutuiirs, lus ruulrua viiaumuti^urs vt lu iiL'rio urduiiui^o ilc ceit derukn. (Vuytji plnu- 

Clll! V). 

1.CI1 mi'vaiiUmcH du tuiiH li'-s ilmix ri^KUlutiuiis suut uctivira uii conilitiuuK iiliysiolo- 
giijueit pitr Htimuliin rolliruliis uuustivu(«. 

KNUUItK HVK LK MKCAKIS>IK .SUhlitT. 

L'huriiioiiiH iln la pruditutioti tlitiruiii|iie itvuo hi dif^purxioii ]iliy<iii>li)}cii|iict]iu>iit 
8iibit*4 duD riHOilliUi»iis, i]iii ti'iiiivuiil li-iii' iiiti'r|>r<'liitii>ii iIiiiih la Viiri:ilijiit6 diis 
atiriiilliirt i\p. [^Niiliivnt onUtiio i'iIjd^ Ii: AUiiri l<: plus hir^tt dii mot). 

ha, TfiKn]a\ii>ii i\o lii olialeurcii i-ouditiiiiiH pli.vBiu]u)'ii|iK-n lie piiiirr^iit H'lii^tivcriiiiiiH 
tea voios iiii:idi-Mta at anna Iw stimulus du luuude uxturtiu (duus its hi^iih pliiH hirgu 
dii milt) aiir ti^lleH vnies. 

La ti^itipi'riitiiru desliumi^otliermeH Hiiliira des k^a^'^ oHcilliitionH, tii> Kanloi-ait huh lu 
teiiipi^riitiii'" lUi'cliii iibysiologique «uliKl.itlit« i\clim|iio ordru et cIjibsb. ("«»(■ pour va 
ilili< lu uatiiru ii multiplid leu voius iit«iili!Utoit' aur Iuh motriui'H (Irs n-tloubieH). 

II u»t liit-ii cliiir, iju'il BxiNte uun ikpjiDroeptiuii tlicruiiiiili^ Hue uu\ iivtivitii curtiro- 
tL('rtuo-Ni.'iiHoi'ii!l1i'H. i':irc.-u iiuVtiiat le HOUHuriiiui <-uiiiniiiii avin6 do tmite* Irs 
voriatidii.s ilen Htymulna ]ii'ri|>biiri<iue« (d.-ias [en auna plii» I:<1'K0 du uiot) tout- u U 
rnitvxcil^M iiii'iuB IcH ceiitrcB ri'^iiliiteui's'dti dytiuiiii<iue toriiiii]ue, qui aunt ur-tivi'ti 
pli;aioloKii]iieiiiuiit piiri'\i'itutiour6lli5cliiu vt coustuiiti.', <:ar I'viLcitiitiuii mitliuctliouB, 
n'uxt pan lu iitiriiuliiii ui'diiiuir<>. 

Uana iiu vliiimp ni vnste do uoiitruH d'HrcB lUnaliUHiigui's. i.li(irinli|ui-s i>t viLBiinioti'iira 
luSHtimiiliia itiitltuutliuuoD tiu puuveut otro portoa <]uo par It: plusuiii i|ui les. urruee. 

TIII^:UI1II': nVK LA Klf^VltlC. 

C'l-hI. piiiir i-:l i|iie r.iliiKiruic vrMiH dn pl]i.-<ui:i, 1<' rliiniiHnie allrn- du pliiKiiiii i|iii 
Ii'H iirrrisi', vii'iit tl'udiiit en I'liits do dyiiiiiiiii{iir (Ir-i [iiii|nu uII/ti'.s pur iiiipurliiitu 
t'otti'tioiiiilitt- dw 111 mTit urdmiui-c dod lUviiiiiisuivs liii-rriii<iurM et dirtp(-r.iil«. 

Altt'roo de uette tiivuu lit iiutiittuu du tuts uuutrus iii:rvL'u\, rurKiiniHiuc unt uii 
praio ilu pruci'H iV-lirilu. 

Lu vidri lu uaiiHu iiiiii|iiu priHluutive du )iruci>e fplirilo: <''e'it lit rnmin du ptxsmii 
Alti'rru pour ('liuu^uuiiiut cliiiiiic^o-iiiolt'ciilaiTu du nii^rue. i|Ui iulluu diniL-lcuiuut sur In 
uuurriluii.' den cuutrua duH iii'cx diu-stultiijuea tliuiuiUjuea ut dea itrus diuatultii|uoi> 
vasiiDiuIouiti. 

Kii •'•■iiKi^iiui'uri' il y It tit ruptiiru dvx |]ai'nii>nii|urH mppiirt^B (lii'U uiilritil' et 
r<ii]ulioniii>l KiiM-i'uiiui'u), pur leiii|UulK vient itccumplir In Tuuctiou tlitTniu-iugala- 
trii'i- pliyr-iiilii;;li[iii-, 

riir riilliTfi) iiourritiirt) dus i-oiiIrrH drs urcM diii>jlulti<)u<vi Huadits ru aiiit uiie 
fuiblrxKu dyiiuiuo^i'iiu iiurvi^uHf. <|iii ku tniduil Hiiuaibluiiiuut uii uuu uiuiudru i:t-l(Ti(i< 
lie vibriitidiis de IVlliur uerveuii. 

Lli diiiiiuutiuu de lii ■luniititf' de mouveiiu'tit. do IVther uervi'ux uii trilu ri-moiitre 
est tcllu <|uu tie peut ]>as Diodlliur rcxttinniun, l.i ocU^riti', la directimi dca vilirutiona 
de IVther, traduit HenBildemeiit eu L-h:tlaui pnr lea activit^a cbiiuii|iieu dus titwus. 

EIlu est parftlque sana doiite daus le ayatAnie nurveiix l'ui-tivit<^ i[ui reud linr- 
iDoiiieiiaeles vibrationarte I'ether m^rveus AlMtatde vnedea ^l^meuts celliilairi'g. 
Kat-etln par^t])i'|uepr«<cia^tiii'ut I'artiviti! apte H truduire la cbuteur ebiiuii|UB«n 
ubaluurorgnuiriiii' vitale, c'est-ii-diTe i "Telle ((Ui uo puiaeo alti!ror la vie di'a pro- 
toplaamen eel lu] aires." 

* Ijt-M PliyHlii|ij[HHti'4 ii|iiiifnt i|iio i<^n H^yjv* fin iwD* mtii-iif pn'^ini' ili'iiv rni« niiliiut ifuo \«i til)roi 
Diotricvii. Vujvi Puludiiiu, Uii, luntil. I'Lyslul. ut Um ituliti Xndl^ de I'liysiuIuKle. 



PAK-AMEBICAN MEUICAI. COKOUESS. 1247 

L'or(;HniHiiu) uiiiai eat eu pruie ilcsnctivih'H (-lii[iiii|iicM, <|iii nuiii <;■'»' lit iiiriiiu puiir 
Im chaumiiieiits cliimiqiiiHi iiinli^ciiluiTe'i ilii pliuiim, ijiii iiiltii«iit it miii (uiirniirla 
nourritiiTe ilea antral prntnpluHiiiHH c<t|lnl:iiri'8, cii r<'ii<1uiit !tii<iriiinlt> la untriliuii, ut 
eii acct'l^raut eu plusieura tencoutrca hi totnic di'HUKri'Kiilioii iiiulrniluiru. 

La iloctriiie |>hysiu-|>uthiili>);ii|iie lie la lirvri.-, Cdiiiiiie J'ui ili'j:i (iiililiii ilepiiiH loii);. 
temi>H iliinK nien pt^cMeiite ouvm);oi, doit I'tre fuiidoo mir I'ulli'ri'e iiuiirritnre iltii 
ccntrex lie la aerie oriliiiiiii<e (lea area diii8tulti(|ui!a tliertiiii|iiiMi ct VB»(>iui>lHiirH pmir 
I'nlti'ri'e cruaiit dii ptaHmn, i-t on t'oiiHi'iiiieiici', mir I'lilti-ri^ii iiii'i'niiii|iii' n'^iilittrioe 
tLenkiU|iiej reixdm- Himrtiialt* iluua lea ri>iictiurjiienii-]itM doa lirux int'CJiniHiiii-a aitadito: 
le uaulrul {>uui lu pruduutiou Ue la cliukur, ut le iHiriplii^i'iiiiio {lOur la diai>er«iuii. 

CKNTUK8 TlflllirlllltVKM. 

Siir hii]iiBHtiiiii: !ii Ira i-eiitrt'H tlK'Tiiiii|ileBHuk'iit luriiie ci'iil rea tbrophiipira, Ju erojs 
poiivoir dutiner aiiHai dra mixlfatca rreultuta. 

LeH ruchercliea espi'duieiitaliM ui'uul Ucniuutrii <|tiu lea jiiiiiuuiii U-afa en li'U I'l'U- 
trea perdoiitdn puida. 

Cu f:iit. Je I'lLvaia di-jii rfnuiirqui^ :i pi^gB Kl ilu iu:i duruii-r<' piililiciiliiiii.' 

L« luil>m d(i I'expi-rience S (St'riu V|, J Miira IMHi, pcrdit I'li 10 Joiira tiU gniiiiuies 
dc aoii fH>iclK« et Va tujnpiTntitrt} Tut t<Mtjuiii'4 j4ri'(l»SHtia ili- la iKirtiiaif. 

Le Upiii lie IVxpi'Tieuce 1. (n^rie V ), IM mivuiiilin* IXJM, i..-iilil lU- ixitiN u]iriB II 
joiira <lu tu If-aiiiu euci'iibuliigue M) K^;iuiiiii'a, iipri'a 1 1 .jiiiinl IK(> f;niiiiiiiiii. 

Daav iitin prruve preHi|ue iliroi'te jioiic iiik-ter i|iiu tea rciitrtM llivrtiiii[iii-H miieut 
mi'mi'S dim cmitrea thropliii|uea. 

Tout ijei'i i'»l bii-u eii liuriuiinii' avot^ Ibh viikh r[i)e iioiia uvuns ■Ii'Jii aiir Iil iniurrilurii 
de I'lirfiauiKiiie. II I'bt bieii I'uiiiiu ipiu \i: iiii>iiveiiiuut tliuriuii|iiii ur;c:iuii|Ui! I'St \i6 
iutimemvut avec lea ueta iiutritil'ade I'oricuuiaiiie. 

TlieuKlE MIR l/lNKLCKNUK III' SYHXfeMK NKKVKUX Sl'K l.A 1 Ll.ll.mit nlHiAMltllK. 

Kii Hvaut iloiuuutri' i|iie duiiH la n'giilittiiiii tbi.'riuii|iiti lo Hjati'Uiu ditnuiix ii'^k'^ 
piiH I'U totu, muig piir nii'eaiiinTiieH ri'lli'i-bia iiril<iiiiii'». piir I'riitri-H t]iuriiiii|iii'a I't viuwi- 
iiiiiti-iira, p:ir I'l-iilrrH et par vuiira aprciiileH. jv iliiia ('iiiii-liirn, i[ii;iiit :i I'luitiitiueii du 
ayati'iue uervi'iix Hiirluprudiivtiuii lbi^rmii|tie,<!U npiiiiint; ijtii' I'urtiviti' dyiiuiiiii;;>-iit) 

iiervi-iiae uvur aoii iiioiivuiiiflil viliruluire. iiiiHlilie In i-rliTilii', resteUHiii t In diriH'- 

tiuii di'H vilirutiiiiiH du IVItiur, iiiia eu viliiatiim p:ir lea iiitca elii]iii>'[>-bluli>)'ii|iiei, 
qui arriTFiit duiia rintiiim texture dca tIaHiia. iivei- pbi'ii>iitiriii'» d'iiiti'rr>'rt'iii'u de 
UKiuveiiieiit vibratoiru, et uvec muditlriitiuJi iluun lit dirurliiiii di> lii pri>p:i);iitii>U du 
tel tiiouvemetit. 

I^ vuiri previat-muiit dans In vie nutritive iibyainloK''!"!) tniiiiiiL'iit la r'liiiluiir I'bi- 
niiqiie HI- trotlnit en I'bHlaiir urffiiiiiijiii: vitiili', I'l-al-^i-ilii'it mi p:irt':iiU' liiiiiiiuiiiu 
i|iiaiit ii »<iu ilugri^ avuc lea couditiiiiin de vii< dex iinjtuplusiiii'a ri'lliiliiirrA, 

Diuia lit vie nutritive patli»lo);i<(iie, dims la lii-vn-, e'lwl liilin^ dims riiiiinitinn 
patho1ut;i<|iie d^aiguou piir di-a ebiiOK'^iiieiitn ('biiiiir[ii(>s-iiirdi'i'iihiin-H liii iilimiuji. In 
cbaMir oricaniiine vilitlu. duiia lu aeiia Hiiailit. au tradiiit rii <'li:i)i-iir iliiiuiiiin'. ]iiiiir 
rnetivit^ <Iyuanio)^'iie alfaililie du a.VHti'iiie iirrvuii\, mi iiiii'ii\, |iMiir Iji ri IitIIv 
vn>rat<>ire ofi'aiblie de Vetber nerveiiiL, qiii pmir I'l'iii ii'n pun tniit li t'liit la i|iiiiiitii<' 
lie tnouvemeiit, telle <iii'eltu puiaae iiiodilii-r lit ci'li-rilr. ro\l>-iisiiiii ul lii iliri-cliini dvs 
vibrutioDH de I'fitber, mia eu vibratiun uulurij^i'ue par leu rilninf;>-s iliiiiiitii liiiilnjji- 
quea deti tiaaus, 

Commeyaidf^jitpiiiuMetaiueut publil^. it Beniit liieii Ijiiiiiil di' wiiiiiej qin' lis n'li- 

tna tbeniiiquca (lea thennagi'neH busilaireaj aoifiit iirudiic-lviirs du i^i i-b:iieiir. 

Celle-ci est proilnile daua I'orguuiaiue par aL-ticua ^■lliIll^l|llt-^ rjin m' ]>riiduiKeiit 

ilaue Vintime teitnte ilea tiaius. 



'Tmt Uoon^^pUB "Cmtrl Usnakt e toiitri vunipiiiuiuri in -ininiu iili" ii- KLiuiimiu'. •■•■•■.. icfll. 

Ti^b«lv»tl:»-.«dii. 



Ci-vt >■ :-4j'j-i- -.=-r iiZQ'^ r-iJ^ioasiN 

- --, - ■ . f -.', ' ' '. -- . ' -^ -^iTi :_ 1^ . : n'":',- ■ . -^-i*: lifcL- > *^sj 

,- *,. L.I- fi- - ;.' ;-r^-;-: — ?'*' -^i - ::-:■--; Li r-i:^- L- - att 

«*> ,*.'.-,.-. 'hp. ** ■ ■ —.I " 1 --:i ^^.■'■- - *^ ""—1 ' - '^- I «. ^>* "''in. fc^-* " _ icfc^.4^+ 



,'t. :,.* j:.tN*;?i;. '. 






i * Ki,'' ■' ^' t. ,.■.,• ' - ^M-.i ,.!• '\ I I.,,, t:-.; ■,f,lti\ii*' 

\ f'ut--^ I .vi.-A't jFh'*',.* .•.\',u^" "ii«»j'iiiiJi'''rr- ■!■ ^ :imrt-« LI uir-^^ Mrili>nD<-« Ta*n- 

f.'i^r 'ir - f>' I r|pl>' "'; " H ■ »;■ ■ I JlP'.' >J' > ff-l>it r' >. 

A i, J% tif Fn,r'4 1. iif^''< ft' ' li' - '-u-' rpi f^i-M-* i 4 Li f» riplx-rj-- <lu lurju i-i ibu^ It-:« pviti-mrA 

' •«ril>'f '.i.i -,\ •nt J 
H V'lf 4 lii' *niu n u iiff '4 iiri'.P'J' riM ail P j-nrrA I |. 
b '.'rfpf-4 tuittm, iHt.iiitt.n wt\"l'i*^ *Ui* t'zHtn-^ tit <'Viii.» ijlr*-: vvirt^ inhitiitri' r>i »k' IVcon'* 

ti i4Ui.,U iiip' M iifi' 4 Oifjffi'rjr' Hi" |j]iiiU;iirf-iif. 
• VitUi rlH imit -i ri«lf J- 1* 'lif ittiii\tz4 niiii'iiiju t-i Kllfd piirernin-lit It <^ln^liii° ibalanilcain. 
il Vii\i m till tU'-iK* ■■■'■I "II *hi Jriiii m"l-ilrj-j| iHiiit- iH-tanMT^*-* exp<l-iiin«iilalBiii<'iit el ;itH>mr<iit iln>m 

\ JirOiiii I' iiijji' ■]'■* III Tim. ' 'rtrnt \mtiir ii-u unu* ijiudilliint li-s BTtLunfl tiiD^rblnihiiiCH>- 
> Villi 4 ni-rjiirJim jJni Mrif|p'>»dii <-i'riiii-^j. 

/ VMli-«iriiilrlii<«, IriUIMlili'i4 Jim tMwrni'rti'iirH jIpi lunii-lli- rn^rti'^rhJert tlCA cRutn-x -i- 
01/- \'if\m UvttU-n\i-n iji* tu |*> il|fJii rii- i»i lUi Myntt-nin viintubif*- *ii ctutre '^> " "" '^-'I^B'^ax^i^, 

fi lillhi'A V<1a|lirili|l-|||q lilt Ilk Illili'lllV- 

hh\ VHiiiiH*nlrhMiii tit-iU-vU\tint\fm ■'t-inn'n tftj m mm il*>puiiilB(H!i"» ■ I'iippiirril*'*"**''"^"^'*^*'^'*" 



PAN-AMRRICAN MEDICAL OOSOKKSS. 1249 

a I f>. ^j iiil>ii1liM' In hjh'ht^iuo lint brm «11iLHtii] till utH 1hi-rtijU'iiiliiliiii>in'i> c-<irliu^uix A. 

fid. JSj'mbntlna Ir-nyni^iiioiWun-H i11iutiiULqu«H tlK'nriuK^l^''* ^Jif^ilJiin-H IK 

e2/. SymboLiHv lt> Ay>«t^iD« iluii UFVfl dloHldiltl'tUfHi i-ur-liraiii lubil'ilifiru* an t'l'irin^n vujuninitt'iini iln 
la lum-llv 4ll»bc^''<' *'■ 

g5 hf g' fih'^ Syinbulls-^ le ii\h1^iiii> di^ arc-n iliuriiiiliiiiiivri vA.-ujmoit'iirH ili< )ji nttH'llr i-r |HTl|tb/'- 
riqui^a I'. 

I*a DU'^aiiltiiip 1hiTriiir|iiP n'lKnUlrii'n ilt-M iiMMlitlimM iilivuLitlifj^irfiii^ ft']ii-i-<irii|int jmrrlinJi HyhlAnii* 
d'urvn diAtital(ii|rivi4 si'iii-rt cut re v%t\\ \a-a ityNli'-iiipH A ■-[ II i-;«r 1<'hi|iii-U i-yl Ari-4tiii^iLii< In n-^Uttiuu 
ci-JiTnili'; el Ie4 HjHt<-iii4^H Ti^t 1' |t:ir IchjlicIji rut «rcmii|iUi« l.k t4';:iiI;iE14jii ]ii'-tJii1ii'rli|Uu, 

!,;! rp<:t'ADbjiie cte^ <lvut n''j{MldCiiinK vhT ru'tlvi'^e |wr Htiiiaul-jliMii ri Hi'i'liie opiiiiljiiili^. 

Ttkih len ileiii (itit vntn< <'mi <lrii licnrt litlliiti'-*: T,o iiutrillf 'I le finK tiiiiiiae]. Tniid leu i1<*iii 
junt>M4«nt 0'iiii(iJiii:itUnii- fAm^tinnncK fVM* \*- il»ii»:iiik" ile r:iriLvll''- jiiliUilIriii- r-i»rlkiilr^ {V- 1> 
MoDagrapbl^r ail ILIru "CviiTri Ti'riiili'i/''.iiii[Ut(. IrtUO. Ti^t- Sa1x;i(it et li-r<iuj(n;rtAiji--i-^itivm.| 



TIIK AllSOItl'THiN (IP tkON INTIIK AMMAl. Hit|iV. 

By A. II. MACAM.riil. M.l>,. 
Vniftitvtf iif I'hiiMiitl'njii. rnii-ft'iilfi ■'/ T'""tii'i. 

Tlie niitlKir'ii DlxH^rvntinii oil till- <lirilrt1>iitiiiii nl' irnii in ihi- iiciiiiiiil iiml v[>i;i;tabla 
vHl luivo TcHnltrit in ili'trriiiiiiiii;! Iliiil tlio rliroiiiiiliii ••[ I'vi-ry H|>i*i'ii'S iif rrll in lui 
iriiii-liulitint; r<iiii|ii>inii] niiil Iliat tliis aiili^tmiri- ^ivi's i>i'i;;iii tii llic ti:i-iiiii;;1iiliiii jii 
Ihe animal limly. Itfullonti t'rxiii lliix tliiit tli<' iimi nl' iniii'^iinir |ii'<'|i!iriitiuiiH iu 
the tiKKl, ir ir is ii'^iiiiilnti'il iit iitl, iniiiit ^-n ilircrily li> t!i<- roriiiiiliini, iii>t nr li:i-iiii>- 
);l<iliiii, lint (ir r!iruiii:itiii — a i;<itii-liiiiiijii wliii'li iii-rrHai tilled u rrviniuii iiT llii< ruiii' 
iiiOTklv iiciM^pted vii-wM jiA to t\w pii,Vf<iittM^ir':i[ rrliitimiH (»!' irtm, :inil wtiii'li ut llie 
s:iiii<> time Hii^f^eslit two iulnnleiH-'iiilciit i|UusliiiiiH: <l) Ih I'liriiiiiiiliii riinniiliii Ihe 
aiiiiiiiil l>i>ily. iir in it I'limcrl ill vpffctalili- iir;;uiiiHiiis imlvf {'Ji Wliiit in lliu iriie 
ex|iliiiinti<>ii of the, lieuetii-iiil <:11'ci'tH of tin- a<liiiiliiHtriiti<iii iit iroii k:i1Tk^ 

III an altf iii|>t tn uiiKtvtT tlii'Hu i|iii;siiiiii<i. viirii'ti^ ( i>iii]iiiiitiiln iiT iniii liuvc tii'fti 
ailiiiiuiKt«r<.il Iu iiiiiniiiU (^itiiK':! pi;;, rnliliit) in onliT tn ili'li'niiiiiii iiy tiiiiTii-i-liriii- 
ir»l luill liiHtiil'i^iriil iiii'Lliorls tlmil' :ti-lii>n in tim ilitcHtillc. 'i'lli' ilivrnliKuliDII lius 
yii-Mi-d ri'iiilt* «liiiJi rii:iy l>i' Kiiiiiriiiiri/i'il tliiiM: 

(1) Thi- I'bloriile. |i1i<iK)iliiiti<. ami Hiiliilinlii nf iron ami ii'iluiii iii'^juiiir |ii'i>]>iini- 
tiutiH itl' iron urf iil)iiui'lir<l liy tin' i']>illi<'liiil iMn iil' I In- villi ;iiiil l>,\ tliu i>iiii'iii|>iii- 
liHiii ci^tN Hrirroririiliiijr tli^'r hirtviil I'l's^i-in. 

CJ) Wlicn (■''■'''" in larj;i' tliwi'H, '■crliiiii ]irt^li!iiiitii>iis nl' iinii Imvi-. ii|iiiii tin- 
aliHDrbing oleiiu'iitH, cspiTiully liir Hitli^rii]iiiiliiiis i-i*!!'. ;iii r't1'i'< I niniil:ir In rlii'iii»t;i\ii>. 

(.'() The II 1)81 >r[ it inn nf iron iDnipoiiDila ui-i'iirn rliiclly in llir ii|>|H'r ;inil iiiiilrlh- ]>ii:'- 
tiunn "f tii« entail intcstitit!. 

Tim bc-ueHHiil i-flVcts of ihn iiilininiMtriilinii nt' imn in iiii;Miiiii ni:iy. in liirtr"' i'"'. 
be cxpluiaRd on the vimv thiil imii /•■■iMh iiiiTi'U.si' tii'' »liHiii'i>tiM' iirljvity •>( lln' 
inl«.itinnl miiroBn. 011ii>r iiivcHti^nfiunH on (h« iiliM<ir]i1ii>ii »t' I'lininiiitiii Ii'ikI to 

■npport tliin view anil to inilii'iiC<< thiit inor^iinir- iiinl !ill>nmin:il<> i jnitiuiln i>( 

iion are not asuiiuiliiticl in tlio iiiiiniul lio<1y. in-. In oliin wiirils. iri'ii-liolilin;; nni'l'U' 
albiimiua arc proilnrtH of vej^ftnlile ini'tiilniliKni only. 

The bi'uriiiKB of these oliKi-rviitiimhi on tliv piillmtoiry of nimiili' !iTiii'iiii:i iiiiil rlilo- 
nwit nnil on thn Bulijwt of nutrition is clisciiasi'il :il IriiKtii in llu> oi i(;in!il |»i|ier. 

S. Ex. 36 79 



1246 



I'AN-UIKIUCAN UEUICAJU CONURMSS. 



PniiT tr\» in'ranUiTii-M lii iirocliintton tlinniiiiino vl r^li'o par to «iriiti^ii«< d'lirca 
illa»lulli<iiii-n(livniii>|iii<*,<|iii lint luiirc(<iilr«<Uu> loH <<iif lii'» ln1ilbib>in)H llicriiii'iitea 
ot tiNtiit l(» tlii-rmoui^iim VisilititM, Miiilm ■|ii» l> (liH|iurHiaii <«t it^cW |>;ii I'autiu 
(t.v*li'lu» it'iirca (lTiifit;iliii|iim, <|iii »i>l |it>iir vunlnm lr« i'i>rCii'i><itiliiliitciircn mix vunii- 
tiuiti.'uia, led iiculnn vanuniolvuRi el lu ii£ii« ordouui^ <l« cm dei&ictH. (Vurn jilau- 
tllr V). 

!.«* in'-raulJUiiPH •!■> toiiit lo iknv r<-s<ili>Cloii» auul iMiUrA* mi codiIIUimih pb)r*lo|a- 

^■■(UvO I>IU »tlllllll<l« n^llrcllill (^»U>>r■lUt■. 

XMCORK HVU UK M^C'ANISMK bl'SIIIT. 



I.liitmiiiiiln iln la ptcHluottoii ilii>niil<|ii« av»o In flli>|ii't«li>ii )ili.v«iiili>icti|iii<iiiant 
■iiliitt- >li<« (HvlllBliiinK. <|>ii tioiivniil li'iK tiili-r[>i-(^liili»ii ilniKi U %nrl(ibillt4 iUm 
aliriiiilii>ili- riiiiiliiunt ox(<'rn«(il;in" li- «mi>i l« p1>i* Uirii<- ilii iiiiiht, 

Ijt ri'culnti'iii tlr In iliiileiirvu i'i>uilitii"i>t plivxliiliiui'i'"'* >"' I""Hrnit. ~'u<-liv(tri>n(ia 
Im vuicH iriciilfiila «l tuuii l« otiuiiilua Ju iuuuiIl- L'Xtetiii.* uIuu« tv suiin )>1uh UrKO 
till iiini) Hill' tclliw vuieii. 

Lb U-iii[K'rit'irL> ilLvliomC-utberniVH niiliirii dw itrsvot twill iitiuni), tn- f-anlotntt niw la 
tcni|ii'fiiliin! lUMliu iili.vHiuIogiquo cuiintitute It cl>iii|ii« otJn- el vLiiiai!. ("ml |Kiur va 
(|||D 111 hntUM 11 tnultipliit Ico voica infiilonti^' mir !« uiiilcicm ili-n ri^lli<i:tiiaa). 

II ent Miiii clnlr, iiii'il tix'nta uiin nppi>n'a|>tl<>ii tli<<niil<iiii> liiio iiiin luittvili^ nortteo- 
tlii'riitiKoruMirliillMt. Piiirn i|iiVkiDt \v snuHurliini ■■ixiiiiiiin nvli>i^ itn Iniiliw Itna 
v»rl:tti<iiiH Am Htyiiiiiliia pi<rlt'liM'iiie* (ilitni Im *nLi» |ilii> 1»tKi' >lii mol) tout A la 
fiiliK-xoili^ uii'mo Icn I'ciilr'iB n'lciiliitdiirailii d)'U;iiiii<|ii» Ivriuiriui^. iiii aoiit at-tJv^ 
|>byHi(ilui{i<|iii!iiiviit pBrcxi'iluliuuitJl^t^liiv I'ltuunUuli-, tatriixclliiliun uiiilioutlionD, 
n'cHt |>iui le Ktimulua untiiiiiirv. 

Uiuin iiii vhiiui|>»i vual« iloociilnu d'ain* dinnbtltiiui-'K, Iharnliiiiuu pi viMiHimti-uni 

(■Uiuithia uiitJiuuUiuiiui itu pviivcoit #tr«|H)rti^ iiiio |iar to pliMUU iiut Iiw arru«». 

nitoMIK bVH L« nf:VRIt. 

Cmt |>i>tiT v* 'li'" labiiariiio rra*!* Am |<Ii^iii:i. Ic cliiniUiiin uUr^n* da iiluiiitii i|iiT 
In tiiriMi'. viciil tnuliill •-<■ fiiitJi ilu ilyiii>iitli|ii<- lbi^nuii|iie iilu-rm jiiii iiiipurfiiita 
Ii-ort loll III 111' ■li' 111 f rii> urdoitiK^'ii <\i>c iii>^i finluuo Ilii-iitii<|iii->> ot •Itii|i<ii«ll'* , 

Allrrfio di' cfllB (iK'uu lu iiiilfiliuii du tvln iviiliuii iirrviTUx, I'mguiiUnKi imI wi 
proladn inucm fi'tirilp. 

I.u viiici In vaiiiw iiiiii|iit> piuiliK'tivu du |>rui;i'-i> Klirlle: Coal la cRwis ilii |>liu>iiij( 
ultV'iri- |><>urrLnui;i-tiii.-ul c)iiniii'i>-iiiul(-i^iilairi> do oii^hil', iiui mllucilirer'li-iDi.-nl nitr la 
UiiuiritiiiL- ilea cvulm iIm arm dia*lultii|Uca lbi.Tiuii|im vt dun nrc« iliaalallti(iiM 
vaittinxilKim. 

Kir <'«uii^|UPiw>i> II y a la Tii|>liiri' diw hiiriii(inl<|iii'a Tiiii|iiirM (li<-ii iiiiliillr et 
fum-tiuiiiit'l •'itv-PiiMiLi;), jiiir IiuiihoIh vli^rii avvuiuplir In fmtvUuii tli<.iin<>-ii--;ii|a- 
ItUv |<liVKl<>lu);ii|Tip. 

I*ar I'allt'iVfi liiniriiUlMi d«« rMiIlM iIim rMs dfaalalli>|Uw< ailmliU »u miil hm 
fHlldrviii i1yii!i[iHiit<'ui.' nctviTiuis ijiii iig Uudutt Hviuiblunieiit eti aue luoludiv <^l4'riW 
il(> vilirsrit-iiK do IVtliei iwrv^iix. 

Ui tliiiiiiiiiliuo do I' <|aiiiitit-' d« moiivoini'iit il» l'(^tb»r nnrv>-ii>L cii U-lla ivtiPiiiiirD 
Mkt t*illo ijiio ii>- l>iml piu riuiilllW I'i'XiiTuiiioii. Ill ctiftriU; la dircriiiui diii vtlmiltiiti* 
<\v I'l^tliM, I mill i I >«u«i)dvii>»iit nil i-lialriir par li-a a^tlvit''* diliiiiiinmi dm liMitn. 

Kilo ml {•urfll<|u« aaoa ilmiludiriii l« st*!*'!!!" iinni'ui l'ni;tivtli( ijui ri'tid liar- 
IUtini«it*e It4 I ibialiuDH de I'vtliur iiiTVPut i I'rlnl dv viie du ^I6iu<'iil<< evllxliiiri^. 
(Ul-nlli- pari^lliiiiUB I'n'ciB^iii'Nt IWliiili^ apte A Imituire la L'hal(MiTobiiiii<|u«en 
rbMlrnrorKaoUiO'' vjtalv, u'uot-b^nii "Tbllotjiil ue piiiiwe iilt<<c«r la vi« ■!■■« pro- 
loploMiiM ccllnliirw." 

* l«s Ph^li>lt«l>IM u|iiiH>nt qiHi int niinu iln ««■ HiiMi* tmi>i|iii> iluu > M* niiluil <|uo IrtMin* 
nntttON. VoyfPtlMilMa. 1«A Lu«IH. Iltytial. itilMautnsTnJit da flijidelaitw. 



I-AH-AMEUIC'AK UI^mCAi. COKUUKSS. 



1247 



^^L'Wj(HImim iUmkI iwt r-n pniin ilm lUitlvlUn rl)tinii|iiai, qni n'lMiicvtitiit uiI^kid pomt 
^B DhUIHmWllU •liltiili|>i<'>> iiii>l^('.iili>m» iln |i1imiuu, '|iii liillittml iimim Ioiii Hit 111 
HiOBnllim •!«« aulm )iriii<>|iliii»iiiu> i:i-lliil»irrit, vii K'nilaiil nimriunli! U iiiiultlvii, ot 

Ln tliiclriiia |>b>'*ii> |MUiiil<i){ii|iie ili- In tiiirp. i>»iiiiii« j'ui il/jit |>ulili<> ilHpiiU tnnK. 
iMUpa dniw ■■■«■ pr/ii'iluiiiH iiiivriitfH, doit •Ire ruinl^ sar TulMri-o miiiriiinin •>■'■ 
VMilrra <[■• tn Hi<rl« otilniiiire iliv urea iliualiillii|ui*« t^tf^■llil|lHn (-l vuHuUKiloiirt piitir 
ralWi^a cnun dii jiliiBiiia, pI en i'»tii»'t|iiL'iiri'. mir I'lilkn'i* tikcaiiii|>i« ri^|-iiliiiTi>iT 
UlariMhliH-, midile utlannulf iluiu Ini fiiDvtiDiiiirnirliln ricn ileiu Dif^cuiiixliii-ii nUkdtta: 
ta «Wlral puui la (uimIiwiUiu de In cliuli'iir, ut la jii^ri|>li^qac pour In dUjicnioii. 

CHKTIIUIl TilWiflllgt'lu. ^ 

Knr U>|ii«Htiaii: rfdraociitra tli«4inii|iio«i>oionliii^iio«rnlrc« tliroplii(|nKt, iocToU 
puiivfllr itiitinpr aiiwl lim uimlwtca ti'nulUiU. 

Lra tKi<lii>rrlii'ii«i|M'fliiM<iilitl«a iii'uut diiiiioiiln« i|tiB Im iiiiinuiix ti<M<»nti Ivla unu- 
tn» |>PI>li<nt •III [••■111*. ■ 

I'l' r«it. J« rovaU ilf^jn rciuimiui^ a PMHi^ ^S d« unt dmiiiTc )iiililii*i>liiui.* I 

Le luiilndii iV-\i'''ri<Mnr« W (S"-!!* V), I Mun> IN.t], pi'rdit i-u 10 joiira mi giuiiiuiMi 
<hi noil |ii>id>. 1-1 til leiii|>rmliir« fVil IrH^uiin aiicluana* dr In uuniuilc 

Ur )a|t|ii itu IVxpArii-Dcr I. (o^itn V}, IH mivitmUrr tWI. |i<-rdil lU |H>idii apN« II 
^gnn dp U IVslixi iTUvi'pluili-iDn fU ndiniuKii, iipri'-* l( JiHin IW ([raiiimiik. , 

l>nui- iiii« pivuTo pi<ui|ut> dlmi'lti puiic luf^fnr iiii* l(v i-KUlnui lhvnii)i|iii-a noIolIB 
ai^Hivn d™ rciitrm tliropIili|nea. 

Tiiiii nvi i-«l Ifii'ii Kii li.miiuiiir ityni Iw viim t|iiBa»iiHavuii«d^i&Riir liiniiiirrllnM 
d« riirf!*nl(>ui«. II iMil lii«ii i-uiiiiii iiii* le iiivur«iiM<iit Uieiuiiiiiiu orgujiiiiiie Ml lUj 
lutlMi'mnwi aruu Im ■uln iiuintil* An Vmjptu\»aiv, 1 

TlUtDHIK M'U L'iKVI.llrKCK l>L' SVHTkUK MKIIVHUX Mtlt LA rllAI.RITH cllil)AHI<lUK. 

Kn nTanI d^niwnm' iiiui iliiiia la iv-|[ ■■'■(>'■■• ll><-niili|>ie l« aynb^UKi ncnmix u'aKlli 
|ia* I'd lobi, imhI* jwr mi^uiuilniMw rrllt'i'Ltii initi^iiK'M, pur rnuUii* Utiiriiil<|tiM it va«a-^ 
lualr«ln>, |inr I'l-ulTi-Hat par Kiiiw r|M^ii|>1«>i, J« itnla I'tincliim, ■|u:iiil i^ riilllit«ui:K dll 
ajratxinn iiiTvnnf nsr ls|tr<idiicli<iu tlifrniiigon. (■iiiiplnuTil: iiio riu'UTi(^d.vn»iii<it;.i|ia 
■nriKUMi Hv» Bifii (iiaiivcniiMil viliiiiltijrt-. iii<>dijii< !■ ni'li^rll/, IVitvtiixUin. ci In dtivt- 
Ijun dm t iliruli»i» du IVtlivr, mla vii libmUi'ti pur Iim jn-trs (<liiiiii<''i-birjli>gii[iii'«, 
l|Mt BtTirrllt •tNim rililiiiif l«xtura rfi-a tioiiis. iivw pWiioiiii'iM-i d'hitiTlV'trtiitc ilv 
MiuiivriiH'iii itbnttiiiro, ut uvec uiudillialiMi duiu IndiivrllvD tie lu pr»piij,'atJi>ii ilu 

Ivl lllalllllilDI'llt. 

I# ir<it<-l iiti'i'kariiiviil dan* III vi>* iiiilrllliit pli.viit»l"|t''t«i' •"■iiiiiii-ixt lu 'liBtniir i-til- 
niti|Un •■■ litHliiU Ml rlulitiir iirEiiiil'ixi" viu>l<', •-'■'■ I -ii-<l ire m piifriii[<< liiirinuolo 
t|aBiit a •Mil itngrf- a«i'u li-a ■••mliliims <\v vi'' divt t>ruiiipli»iiiva iMitliilalrrv. 

LliHia l« vip niilrjlirii |utii»lu)ci>(iiv. iliiiia U ('•'en', c'lmtii-didt iliiiii riniiiiitUiit 
|ialb»lu)ti<|iiB di*<iiii>ioc piir din cli»tij;i'ii>ciitH rliiiiii-iioi^-iiiiiti'i^iilalrcH dii jiliwiiiii. la 
etuUi'iir ■(rKiiTil<|ur> viulf-. datm lit Htm iiiiiilil. hu Uiidiiit nii <<Iiu1mii i.'tiiini<|>ir, pmii 
rartlvlii^ dyiiuiiMiKi'iiii atl'allilin dii uyati-nni nenniix. <m iiilnix, piinr la ef\(-ri%6 
vibralnini affuibltii d« IMUMrr iiMtoiu. iiitl )>»iir ri'lii ti'ii |iiik I<iui li Talt la ipiunliUt 
■]• niMivruiviil, t«lhi>|ii'«llap«i«v>iii>>linrT l•o^)l^^tt^, Tnxii'iikluti nl lu diicrUi>ii dm 
vilmtiua* ilo r^ttinr, laia t*u vllintUia caUiriKi'ii* (iut I«« I'vliuiiKra i'hliulro-l>l(dugl- 

■I UK* lUlB tilWUB. 

riuiiiunj'iil ilrjii pfVW-ili'iiiiui'iit public. 11 nerait ••tun luuul Av KinKiur i]av ti<« cm- 
Itm tliiniil'iuri (1<** tlH<inii>|i>'iin4 l>iuiljuiMi) iHiii-nl pMiitiii'h'iini du 1^ rlmlHUr. 

< rlli-<ci ■■•! pi>i>ttill« daiik I 'unti"' '■"■■> I'M MiUuua Gliinil(|iuw iiili •« ]iriiiliii»cul 
dniia rtiitiiiir Uiilniv Uvh tlMu*. 



' . . Mja m- pbia "C— iri |«raikil» wiri WMnwIoft iu onilii>alto»»j 
I If aat>aUi».adU. 



ndln 



■iia. nw.. I 



(X WW-AMKK1CA5 MtCUKkL C03EGKEji&. 

i-A u'lfiiM* iui'tii»j-|ii«« t-xmiX vrjjiriA d '■!■.' 'iluuilli-iac* wtut det' Toie* de eoadao- 

I 'Ua v|l«I*lJOJj* <]•■ JVlliri lii-l vi-NI. 

riWr 1 jljtJili'iiit Miut KI' il'>>* ji;ii )•-• aliifiiilru 'lu iii'iii'l' i-xttnic <diiiu If Bms 

: l^llifi. 'Ill »l<jl ,, •I'll a^flilM III *i|I Jim ^EII'IIIJT-^ 'I--- ^•>i•^•^ iutidtUlt* df !a li^ri*- 

I 'ii'l'iii i,if. i|i-a aii'-ii 'liarluhi'i'i':-. 

■-a tui Mu-a 1 ilfiuii'ti)!! 'Ik JV-iIji r ii>rrveui -•; ;trii|iax'-iit *-ii>iiite dn rfulre de Tare 

ilullt'fiia I'lr la fiji' r'^JIi'i-lii'-, I'>im<|ijk IrU nliuiiiln^ "nil phvsiiiloini|>iF*, mmia b! 

''Miliiilr<: ':•-• MriiiHiJii'i wini uNiinnii'r*. il •>« reuvi'Tiii- 1:i ilirti-linii Cm vtbratioiu 

'I'llwTf iinti'iii il y II ul'ir* uii iraiiaf>:rl il'M'tivii-^ •!> iiaiirUK'-in'- •!>- la br«DCliB 

Villi-, duiifl )>'■ vi>i--n iiii-iili'iit<r» il<» aril diu>tlalli<|i)eii, ct uiii-'i Mint alt^rps les 

Hiiiautia oiiliiiiii-'jv, |iur Ii-vjiikJh 1:i vii i>Vi|>lii|'i(?. 

iili'i ij|ii'>.->> I'h, 'ti;Ki>ji*Kn KXi-l^.iiu:M-Kr< i>k iiai.i: wiiitr. 

' lir |iiiin |iii- rjiiii; I'l-i iiit(iiiii''iil, .Huti-- dl>i'<iiirir iriiiji- n-reiilt) n.'clicrcb« d'llalfl 
III'. Jill III i< •: iliiiia III .lull mill III' riiyoi'il'iK.Vi Vol. Ml. Nov. II il« IKH. 
'iinai'iiilij' 11 i>^jiiii^ ifiiii J:i riTiLjif'Tulurii tin-, irmiiiiii'i'H iI;iiih hi l:i[iiii hi>if pliiH ^lo- 
l|llti ri'ilr ihl li'i'lllNI, 

■ 1 1 Mil lull >ii|M'riii|i'iiliiiit il iiit'iTuili'rt ruiK'ltinii'iiiihur 1i-N ulilHtiuUB ()■■ IVrorce 

'liriili-, i|iiiiiiL II I'lrilliiitiii'ii ill' lii iii'iiio Hiir In i'uji[Hirt cittru lu i»nii»^nturu vilale 

'lllH'Olliili-, 

'liilo iikiiiriiiii-iiLi- iiliml : iiM'i' III iiii-tiii' lliiTmiitiii-tri> iiiiit diiuH lo rectum, il paiiaa 

in I' III ii'iii|ii-riiiiii» ili> l'iiii[iiii>i'i'. M II i'uiiiu,ri|ii<^ iIiiiih n^ttu rmiuuiitrii <|iiii la 

iiiii" ill' iiiorriirii iiii>iil<> I'lii'iini ilii i|iiiiliiiii< ilixii'iiii' [iiiiiv :< nil I iiiiiiiiU-n. 

Ill i'\]ii'riiiiiiMli< Nii'iiii' ili> ri'Llr rii^'iiii. ut ir»viiiitii;(u.|'!ii l';iit di-H uiitnrij rccherclics 

ilmnri Milt 111 li<iii|ii'iiiiiir'i 111 i>i' ili'H iiiffiiilli'ti i-t lUvi huihIi's tln'riuu-oltrtrl'iiiuH. vt 

I'll tli<n I IIIII It II IH ii|i]iiihi'h: In h'iii|ii-riitiil'i> :iliiili' ii rW- t'liiJinirH xiiin'rieiiru h I'm- 

lllllr, 

'i'»l jiiiiir v'li II"".!'' II"! I'll I"!** niiivrii Whit" iliiiis si'8 viuu> mir I'iiitlilclii'e <le 

ili'i' I'l'ivliriili'. 



I\l'l UMriilN UK I.A l'l..*Nf1IK V, 
I' Miiiili'nii ii-iiii'iil 

?i I\m|I^ iIiIiUiiiii 

1 1 \ liiilriinti i'|'lli|iii* 
V \liii'IUi HtLiiiii;i'i' 
I ' I'l^i i^ilii^Lii' i1ii 1 m |i-« Mil vt'ii^ L,irii*i till mill I 

^ i|i|Ulolli<A1>Ll<i 1.l«'ulliuii 

l\'iili<i llii'iiiio nihiltili>lir«iMrlir4l<'i' 
rriili«v«Uili1lii1iiii\w >.i«i-iiK>it'm.<oiilU-*U 

I viklli'a lltii|IIK*£i'1li' t-l>lllll^ 4 illl *'«kr|>« ■■ITIHTIItU 

I Viilii « tli*'iii»i^i'i'i * liftiljii*'-. till flijl^iiii* ii^ifiiiiii'. 

I>ii(i«« \ 4]h>iiiiiU'iii * ill' 1.1 mivl!i- jlKii-4ii' .ki*>ii>ltu.itMir^ tti?! ^luiri-* ii vlr^^ i^Iihibi-* vjhv 

lh.«lvHI'« |K'li|t1l^ ll^Lik^'* 1 1 *U' 1 4 UV>t:i4' 1 ti'UliTX" 

I t;\li\'miU'ii 1<iiu'u.4U* ,li^ \i':t^ ir riv',i^» 4 !j iw;'.p:ii -ji,. ,\j, .t^y^ ii .Un^ It-* ^^^rli'iBiv 
I Anl'^1 1 A*«'Ii'. iii^« 

\ tlllVh l^l'lUh^ «.'U«ll^1 1'A .Ili'.tl.'Vl-k Jtllk 44'II.7V 1 

\ it'^w l^i-iiA.<iH.«i::.v« ,'-\ \\ ", » ,i^*% «v,'.iTiiv .; Y'l*" 1 J T Vk»:^* ::1^.;. >::—„*« t]e 1 w-ntnm 

lOIV>V»\' A'.l\ *VL-»'A-\ 1 V! ■-' »i^1 1'** ■4\^-'l".V*' 

V -'■*'* I''*'" ''1** ** '.'''" i^'* 'i >., f .»n < ; .^s.;\* 1 >'i%?. *|Mj\' *■ .T^ rt '. ."?;".''-' ;^A^A?^i:cQTr 
\*'-'l» i'-*'l'f*- '^Mf** .' ', '-. -i-.- .'.' ■',i;*T'» *-V' .',t B?.'i' ,',>' * f\> ':'■.. fj. T--' -Z' t" aS-ttvu' itJu> 

' .^'il-/!. ».-\l.*'\' *:*-* 1 »-..*. . »^-J '.->-„^ ,-.'_A ,'_ ..' '^.v ^CV.: " *'.'.' ;'»>■.'.> L ~- ;t> 
\ .vs*™ h"..^ ;'^v* ' .-. 'j. ..* t.; ,v r'. V r 

\ -\^.» .J,'^ 'Ifc-r*. 1 '>.. ..\J» . \ ' t» -.-■.-■/-> .; i -i V ^ '■. 4!^ '.'»*_■:*■* ; 

\ ' ■' M* ^ ■ .1 .*-..» X'*'.'." ^-* '. ' I -, -^ " .t *1 --IVB'IaBC* 



V AiiV flb^ i^\* r Js^ ivn --,» «V4 



w* ..--A.:-. 



Plamche V, 




I'AK-AMKI4K!AK MKDIC.M. CONtiKBSS. 



1249 



Vl *T H^mlHillw If dVal^luit lift* «m ilMMjilCfi|U(*t Uimii'J l"litl>1(iilnu rt>Ttl^|ix \. 

97/- S^iiiWliP4 1i> >j •t^iuw ilo« Hm aii»4UllL<(iimurtiid"X InbLtiJ^nr** no rtnirmt vcMnnioleiirB Mn 

f Oft «!' &A', ^yiiili<ill«v III H^flfJiniii Jh* «»■ illfb*t«|lli|nT«« «'AM'iiiiil<Mir>i ib* In ^n«11n rt pditlph^- 

L> BuWan^i V iJifVHil^iip r^<hUlrlm Am tntUMXoira^ pli)r«tnli>^nt4 ft'iuvmnplH |*v iIviik Hpttloniv 
4'«M ilMMUlll>|w* if^flJa »trv tai. Lr# n^^vliiiirH A H R |i4r liSi^uriU r«l nn'"iii]>(iv In nVpUrtUuii 

TiMi* Ib« <l*<li fibl r*<r^ ml ilt<4 tUn* IMIiih'*: I'* imtrLllf « t If fuml>ui»bH. TfliH In* illHiX 
jiHilwnt il^u'itii«Mll«iHr fiibiilfmiie], MMiB Vr- <liHi>4iiiA d" l'nfft*Ll'< ii>lil1ilUW oirlldilps (V. 1* 



TIIK AJIHilurriUN or ikon tN TIIK ANIMAL IHll>r 



I 



RyA. K, UACAI.1.11U. U.t>.. 

Pr^fimtmf hkviitfa^, VMMnilHlf nmuuu 

Tlio aiiUinr'* «li«(<rrall<ia no llio tlhlriliiitlnii of (r*iM In llin nRiiiial mill vi>f!«labla ' 

tvll liJivn mtitlnl la ilptftniiiiiii;: Itiul Ibn fliininnllii of ci'vr.v ■] iiw ttt 'Ay ia aii 

IruD-buMiiijt ■■■•ui|<i>iiiii1 nnil Ibiil llii>>iiil»liiiira |*iiii orlL'ln ■■> Ilio li*'i»u^li>1>iii lit 
llH-Bnimnl liuily. It folluwn friiiii tliln tliaC llii- iron "f itinrgitnir j>ii']>iiiiilii>iia in 
(It^t r<H>al, ir ll i> DM I III I 111 (•'<1 III nil, iiiiiat j;» itim'll}' III tlm fiTmutliin. not of Ii4riiiu- 
gti»l>iB, liiit fit I'lirsiiullii — • ■■»iir.lii«ii>ii iflik-Ii iimwi)(titi-H ii irvUlini uf tlii' coiu- 
tiKitilX Birvi'ltvl vli-n* ■■ (u Ih" |iti,\iil>iI»Kii'ii1 rrlitUixiM iil' Imti, nuil wliicli iit tli* 
MDic ihiMi HiiKit*")* IwoititrnlifiH'iidpiit iiiicHiluiw; (I) In rliTDiiiutlii runiicil in tlla 
lUiiiiul Imly, ur 1h it fuimol in tej^rnbk «rt;aiibitiiH iMilyf (L>> Whnt is Ilie inift 
•sHnuallmi of t)i« tiuDcnriul vflerln of iIhi iiiliiiliiiiitniUini of inni Bnllaf 

In wi Btii'iiipt Id niinwi'r i)i<<a<i i|ii<Hliiii)«. taijouii c»ni|>oi>>"l>' uf imii bitve lictm 
aallniiiUtiTnt In uriliiiiiU (((iilnrn pl](. rstiMt) in ordi-r t- iVti'imlai; Uy iiilrti>-< Iipiii- 
lea) anil liUl<>l'i|c<''iil ttii-lbi«'i> Itirlr arflun lu tlio lul<«tlii«. Tkp InTivallifnllan Uaa 
jrlnlilnl r<'*till* olilrli may \>f •iiiiuiniiiiii'il tliiiit: 

|l> 11i*' •'hlorlilx, |>li<>«|>liJti'. iiii<l ••i]|ilinlK iif iii>ii uikI roitnio orsuiii'' |>n')iar>i- 
KiMM nt lliili nfo •IihtI'hI liy tli*' (i|><ltii<ltal iitllii ill' Ittn villi unil \>} Ibu miU-iiijilii- 
jiiD* pvila ■■in»>iii<linK itii' Unti-il viwIh. 

(3> Wlwn idveii 111 liir-,;" ilmi'ii, n-ilain jiTvpiiriillon* iif iron biivts npim thv 
ftliMMblUK I'li'lwiiln, ■■■pvlcill) lh<-Bi<U-r»)<)iili>ll- •'•lli, nil «ITi->'< HiiuiUr ti>rlti<iu»(<i«l». 

(H) Tbn aW-ri'lIu" "f 're" tuiitpiintiilH iktiiik I'ltlelly ia tlii< iifipiir aiii) inlilillr jii*:' 
tluna Iff ihr nHiiill liiii'Minp. 

Till- Itriipili'lal oirnii* (if llMt ■ilnilnlHllnttiiai ntirtm In iiniiiitiU mhy. In XnVffi patl, 
b* rxpliiitivil an tli« vivw ihul Iron »alt< iiiCTuawt tlir «Iiiii>t|>Umi ai'tlvll;r »t thn 
tbItwUlMl lni»i<iHM. Otbrt hiVMitif;nli»iiH imi Ibn nba'iTptiitii of (ilirainatln li-tiil !<■ 
•u|>|Hirt Uila vlnw n'i<l !•> ti»<lk>t« thul iiKirsnnir ami nllMiluiiiali' nmijioniiiU ■>( 
IroBkri' iMilikHiiniliiliil In tlio miliiial heAy, iif, In nllwir WMilv, lri>U-liahUu); iidcIhu- 
altMimlii* i>n> iiFwIurt* nf tngMaNIn iit^tiilHitiiin iinl}. 

Tbn Im'bIIUiC' or thnn nlwrralniii* mi llif |iiil Imlniry ■>r ollnplo anmdiln [titll fIiIo- 
iml* ■»>) iin (l>i> unli.tni't uf iMilrlltiia U iIIdi'Uiihm) u1 Imiftli la i)ik iitIkIii'I ]>apftl> 

s. Kx. m "» 



1250 



TAIt-AMKKIOAN MKDICAL (!0NlilU{8R. 



OS TIIK I'RDTEOLVSIB OF <TRYSrAI.IJZKI> PHYTO-GljUHrUN OK 

VriKLUN.- 



Of lit. IL U. Clini-KXDKN, 

Thc> •tnil; (if ill|t<i«ll(Ri U iutrTMlmic ami liupoTlani In lt« rli««il««l a« w«>|1 at In 
ila tinrvl> ]iliyBi<ilii)j;irul aiyerln, Iti tlio jirrfoniiHOii' i>r Ibi- iiuliinl riiii<~IHKia of 
Ibi' l>(»l]r llic~> two |>Ilu«h Hrc)-i'<-r,vwlii.T<>rloH>ly relnlcil. TIi« |>)ii-iiolueiiM to wlii<-li 
Mich givi>9 Hm! ure di-iH-iidfiil u|njii ItiotH! ut iIju vUier to « v«y gteiil cNleot, and 
tk" tiirnuil ur abii»mvil munifi-ataUnii iif tlip uiio wriH of nrliouB hIwiij-ii btm u 
tlr' litrilly lUiidtftiiiu lniliii'iit« npoii IIm' oiliiUUniiii iif tlu< otlii-r HrrJM. 1 1 I* hi lU 
cilirtiikiil nM|>(>i'i>>. Iiiiwxv't. If ml tlio liiihlH of n vunrKl liitiiprilnliiin of llii< illcrHtlvu 
]>iih-mhi:s Ik-n, upil niiuf iilolci^l fomU niv <<v>rii(iit1 I" iKu tviy iixiolitiiiii of ibit bi>il,v 
IImi sillily- (if I'le (^lioniiriil cIieiii;^ irhiiib tlivnu iii»lMj[0 ill iligiwliiMi ■■ uf ^rvnl aig- 
inflT*i)i'(! l» tli« )ibyiiii>liii:i*l. 

I'diuiitrmt'tn Iran kiioirii in n rcdctdI w»y, |ireviOLia loM«iMiier'« work, TC:f:Knliii(( 
Ibr i.-n-nti<r *uliii)iIiT.y (kml ilirlriHlljilly nf tim f<iiii |iTO(ln«t* of protrolrtic n«tl<>u; 
Inil llii" liivixtigaiot uikI llrllckr ivniy llio IItkI Ui ailrmann lunrfl il<iitnit(! vlown ■• (u 
tlw niilur^ oikI roairlion^ >if th(i>« [iniiliii'M. 1'lioir <i|iiiil(ia», howrvrr, itiflisiml 
BOciKwliiit; lite itii>ci)Tiliiiic« )ioiii|{ nftvii •t■)•^ duntillt^d li> H tlilTurrDco iii tlii* uiti- 
flciiil caiiilili[iDs«r tlieir ex]<ciii(j<;iitM uitd ill UiciDteni'vt'*l^o'< «f t]i«ii titittldt. TIic 

Uivrc r [it OtMiivrrii'H pi-ttiiiniux to Uie pmlPowiB nnd trao pr|>taIl(^ iiiv («iiecliilly 

rnt|i<i«(i1>ln J'(ir (lie {<rrJwiil Itironna nl' tlio rlx'liii'nl pliyviolaKy orjidtlvi'l ilijcn^tliiii. 
At till- pii-M-iil liiiK- lliii kiuity (if llifl rlfarns* proiliiEta rRnnltiiiic (kioi t)ic niil(iti tif 
tlm (isMrir iiitil )i;iiiiiii-.iiii: )>mUM)lilin iV<riii«iilii Iiim liri'u ■'xlctiiti-it no nx <n iiii-lutlu 
prui-tic ally nil ol' llii'i*oTiitiivit Intan- nl' pTi>ti\iit ihhIIit. All of rhc ifoiiltw oliluitiiil 
IvDit fiiviii til till' llipoiy tliat ill ilic'vli^e pvntoiiljriii lUu InrjfvpmU-id iiii>livii)e 
ntidcri:<Mwu nrritw of pt<ij(r«iiivr i'Iinii;)TB. ri«iiIiiiiK in i> (■li'uvd;-t> iiiti> rclutivrly 
'niBiitliir riiiiloculca. npii-MHiiinsi Imdi- ■ nir-ro noliililo uiid niorc iliil'niililr ; liiiu tiiny 
belter fiilllil till' pliy-iot<>if'fi>l r>>.|iilt(<m(<itt)i of sbtnrjiliiin »iid ai> ••ll^^lIll(^ in 
nlToiileil (i1 li<>» imiioilaol A j>iart rlioiiiifal InuMfomalioii pkn>'« In llx^ ft>B<*ti«iwl 
iM'lirity ul ilio avuti'ai. 

llieadviiuotttin iljvnielluid«Df HupiitaiiuiitiiuiiidiviiloiilalbiuiiinoMaflr |irol«w>ai 
1,11V' •-•vvn nn oddcl impt-tnii ii> tli« ntaJy ol tlie piuduvia itI>tiiJnitlrl« tt"Ui Aiifomiit 
|iru. .1*, «^iDciullj' ill vicir iif Uus tinlurnl divi'nity (if pioluii) fuodndiffa. Tim 
nuiillllllK pli>tniM« Biid |ir'|iUiDi'!i, iiH iiiiitlit bc nliticlpnlnl (tvm IMr vikHiHl i>iI|eIu, 
«li»w Miiiiu iHittrmbIn dlfl'fifiKVH III Ihi'lr rviiirtloii*, »i w»1l ■■ tci llti>jr r<iiDpiwitJi>tl, 
nllliiiiiuli ci'rtjiii uiuiLtal ■-liuriulcrixtU-oar^iriiiiiimm to nil nl' » ■livm H^rlM. Iiluiial' 
liliiiii, iiivii^iii. iininKliibaliii, i^g); iilliiiiuiii. vUxtin, ||;i>)iiliii, caHi'iii. iitid i;liit*!tt- 
riiiH>ia liiiti> nil Ixv.ii ii>v<Hlifpiti>di BBil tbi'ir diuvntMu |ihiilii<'la orcfally fkumiiial. 
Tfiia, III \f ■inc. Ii4* I'xtffiitri) iKir kiHiu li'djti' (if llix iti-li«iiliiHl pr>ili-i>Bivi iiiiil ffivnn 
tin iniirli vaIiiiiIiIp liifoimiilinn, but In iiT(l"r lo (iiidi'ii>t4iid tli<>n>tiKlity tlin prixilan 

BUtiifc (if lbi> •tlitolit" |<riii-c>>»<r?i wn t I l(i ('■n vrry ourc iif Ibn (txni't imtnrfi mid 

cli«uiitdl rt>ii<]-nMli<>ii ■>f ilip pinli'iil iiiHli'rffoinic iliK('«li(ia. hi nii) uiiu't vtudy of 
IIh> ivlnliiHialiip iM'lofuia lli<< rniitmH |>r<><liii'tf rmciltiiijc fnmi onlitmry pnitcolylfe 
M-ttiKi Bod lb" niolbi-r pciit«iil, lli« piiril> uf llio IiiIIvt niiint liriU Im auHntnU 
(H>vioiiii1y the eollnidiil «i nui(>t]ih(>na diaraclvr »f ifii|iaiir>' pnloiiU is u itivnt 
olxlacli' to rhntnii-iU piirity. In oryMalltied pbylti-ittvliiiliu, lidworor, wo Iibth a 
ffiim of prutriit nntlf-r, tln> i-ij •.tslliitc rltHTnctei «f wlili-li i>(r.'» n Cdinpnmtlvatj 
i-iiMV in<*HiiB of Intiiii'liijt rhwiiiiabln piirity. Tbi-tw i-iy*lii)lln<' pri>t«liU hiive, iiidmwl, 
brrti kiiiiwii i'lir n Imif tinii', and NFniiirliit«r,t an irvll <■>• t)ir wrildr,! liMtpn)«i(i<i>il> 



*AMni* i-r H »«fKr I . I. II anil >' ■■ Mrnd*!, 

I Pi4«i xnii^i^l •>,'-, : i .... :.Tinr'.rii'<-i<-BiMiH»i2i. |L«s. 

;(Tpf ■■■■On' bbtl>iiOir«l) ^ \ ta»m tl tlMUw*. t-hiturW>iH * llanwull JoikmI i-r flif iluliV]'. 

loi, u, roi. 



PAN-AHERICAK MKDICAL roNOKESS. 



I25I 



rrifiriwl uii II fnw «x|M'hBiOBt« (1ffMl)ciH>iI lii IlKOW Minx lifflit mi tbn rliiiniclor at 
Ijirli illc'livn pfiHlxctii. Illdii'itii, liowrvoi, iliu Krviit ilitflcnllr ntti>ni|lti]c tbu 
[■n^iii rat Mill i>r Ixruv i(iiaiililim i>f Uiwib cryntallitio pniMila. nii4 llio MOiewbat 
taiCiHt iilnwiut ro tbrlf imruro, liam ran«litiit(Mlol»lii«W»(ifl)d«nU)- uront to Inter- 
fan wttli lki>ir iiM In ilivtwiion eik|wiitiiftil>. 

WItfaIn tbn Ia*I l«'»}'(-i>ra iMIiiMtiv.' iiiitkhiji nil rxlKititml utoil}' (if tba fT^-alnlliBo 
v«V^lillili)|iT<il«i<lii, >>iio riiUi-'il iiliFtilinti to tlio mliitivn iilniiidnnrH <if u Wautifiillj- 
ery>ta1tli!nl Kl'>l">'>ti "r Titolliti lit bompan*!. Tblii |>ruli*i>l wo bav« Ihwii mliU< U> 
UiAati- III u ■tilt" iif |M<rfniit I'lirlty In >|u:iTitltlrn •nilliiiti'nl fur all iiiarlicnl iiiir- 
|>(MM. iuhI Viilli Ibiil I>n»lu»t luvn illl<»l>|iti'i) ;l fllfltii'T Ittll-t.v itt Ibf liruCnixu i>l»l 
|i«i|ii»ciM nlitiiitial-lit hy tlia siitlon at Liilli p«|»in anil tivpsiD. 

Tbn lH-iU|i >iu->l |iiijti-til nijiriiiillifn* ill llio fr>nii or cK-itii oiit ui^iabmlm with ■oine 
bi^\B8»iii>l I'ltiUB. I'uili-r ItiO iiiirnui-«pi> llii> urvxUla lire hm'Ii Id linvoas Hliart>l]r 
(IuOmviI iilfjM »■ I'tTstal* >*r iin>r!iiiriin oxiilo rrvolily HaliltiiKsl. limit thnv'nin tlio 
■linnnci* III luiiorptiDiK iiii|>iirillm. It l« n typlval ((''■'■"lln, or i>liyl<i-vllolliii, |iiiio-| 
tlrnll.T luHiliiM*' 111 wnti-i, <>iit "mII.v Miliititii hi 10 ppr c^iir aaK «iiliitiini, Mpeclnlly' 
«b«i wutHi.ahil riy4tiiUl<inK'^''*''"y '^ri"" ■> '>"* "'itiimliiil ADliili'iiiuilbolluiilmuti. 
I'lUtlM-r. nbrn kmuIi mihili'in uf Ibi' |it<'triil i« illnlfieit tlie vi(«|tiu fr^iiinilt/ ^ii- 
MiBlfl* In iTyKtallitio fotiii iiK tlin Ktlt iMttntrH, In fact, It >» a Kli^biiliu escLiiilingly 
prniHi III L<(]ni|jilli/fl, i'tod iinitrr vrliut mteht be IvriiMil iiiiliirimliln ciroumnliiiiroi, 
sptwullartty wliinb t»ii<l>i tu ijito »u uwnratK'i' uf jiuiity. It i» rtmlily miIiiMk In 
DJjmrmil byilniirblitiiL' Buiil ami in 0.5 v<'' ('"Ol MHliam rarliuoati', liciof: iciwllly 
Miovnrtml, ■-■pi"<li'11f wtlh tbn aril nf hwil, intn iicid iillKimiu nni] nlkutl iilbiiinlii, 
mi|M>(itlvi>|ir. Ukniill |tlu)>iiliuii. il t" ia»n- or Ii^hhiiiikiiIiiIiIh t>y lin»t, but U i«Tiil)nr 
ill ihni Ibii iiiui;tilikli"u |>i>iiit ia (<vi'('ntlnKl>' blcli ; lliii*-. ii 10 |irr iitnt nulltitii i'bl<>- 
riil* H>1itl>i>ii i.-imluiiiiiix 11.5 ]ivr •vnt »[ Ilio |it>itv(il ilno not hIiow any tispxi of liir- 
liiilitj null) u lniii|>rr.ilurv of Til ' (.', i« rvnrbvil uml tl'uLi ilu not a|>j«>tir until Ibii 
(Kiii]xi^ilut<' tiiwn III 111 C Kveu tli<rii. iiwl inilvvil un Iwilini: tbu HOtntiou, voa^iija 
Itwi I* vnry iiitiiia|ili'iti. A '|iiaiitilBltto rxfiuriinriil Uii»l in tbU t'linov- ti(ia tt-l 
IllliriatliiS Ik* kll<i<H ilitt bow tUlli; roiiliili-nru riui In- placeil in MT|]itlitioii<tiiiul<i»»Mf 
by Itnni t>t"'>]'il'll"<i- Tliim, III ktiiiih •:i( tlii' |iiir<i rryiitalliu'il pratHd irnttt <lli>. 
•olvvl In fllKiilt a llli'r of 111 iHT oi'iil "till O'llnlloii ami tba llliul biMili'il In liullm 
•All kn|ii lit Ibitt tf ni|>eTuliiti) [•» tbiity tiilaiiln*. TIm ioeriil«i)l cuaiiuliitii tiwiilU' 
Init wna llltvttHl oS, wuiibuil, aixl wriifbnl. It niiioiiiiidl lo J(i*t iilitiiibSO pufj'ijnt nt 
llifi iiiIk'ii*! ptiiMiil. 'I'bii llllrut« rroiii tbia liAalprt'dpiliili- watt tbva ili.i))'. tuitil 
Uui Ktnalrr t>iirtli>ii n( tbn Kill Tra« kiimivciI, wbifu (lie rciHaining i;1ii1iiiliu nupHniliil 
iitti lu t)in iirlelnni oryntallln" fiinu, lhii« Hbiiwiii); lliat it bud nnt l>tou al(vtr>l iir 
Ibu ]ir<>liMi|>i-i) ixI'MUci til ilu> bitfh t<>i(ipnralnrp. .\i:nli> itiiuolvrfl jti uilt milullaii 
anil utf-iMil to |l■^ I'., aiiMbrr i'iu|['il<ini itrjiliinlly famiDil; iiiiil ()»iil<IJi»« if tbU 
|inii-r<u liwl tiiHiii iii|ii>ut<nl n NDfllrlnit liilliilHir "( IIiih-* tlin nnliii- iinLUillty nf L'lub- 
ullii w<iiili| bnve Imin coii^iihil<»l. UvliUiiiily. bowovec, till* vc|iela)ii« Klobiillii la 
Tcry -l»nlv ■ •Hti-rihilile by Ih>uI. 

I ' ••-. al iba i-iynliilliri'il |iiiiti-iil Ii iiini'b tb« (*iiie wt tbiit uf thu moro 

(ti :, . I'll ■■|Uiu')i b*<l ;;lol)iiliii, lii-iiiu i>ii|iiif iultr <>barai't'(<ri»il by a Lii,'b 

i<ual4iBi iii Biifi>);rii iini) i> mfirHjimiillniily luw^ir cniitn*! itf i'IkImhi. Tb<M, Ibf 
■vrraCa riinipinltuui nl' aovvral iliikliiirl prT>|Htratl(jiia*li<ina (l.-Vl prt I'ont nt •■jrl'oii, 
(I,1<M|<M ri«il iif byilrugcu, IKW |iM iirutof ullruRiiHi 1 |Hrr iwnt nfaiilpbnr, Miimi.t5> 

pwennl <if i>X.VK<*"i * 

lAUa all iirirtxid IimDoa, Ihl" phTlo-vllollIu la brvon>Iary; illaaiilioil In IO|in' nont 



■kit Mill tliHi i(ba»a*itn>'1flr (iiUlinit tif =—BS.^ 




tisaa ba* i1rt<'riiiiti«<t tbn tji^-J 



cia*nilnli<iMiir Minna itlobitlin to b« Hfl.T-'. IIImdIimI in(l.:j)H-r ri-nl lijdnirfalorlp^ 
•pM, tlui |irirtri<l U ivattlly uilurkiil by |i*|iiilii, nuA U itmiliially IrnnnfoniMHl Into 
ItfutvivM^ omI (Miplmifi, Mfblln a aniull niiKiimt I* ajBinttaiuiMiiilj Toitratteil Inki an 

'AjmHoiu CWiu- Juuriul, val. It, p. dk 



1252 



PAX-AMERtCAN UEUICAL CONUBE&S. 



trit'ilitMn aiitl-albumltl-lllH> liuiljr. nbtcb may bo ti|>|>Ti>]>i lately l^rniml antl-vlwlllil. It 
i( ncuitli—o III My Iltat hi tlinn- <I[ki»Imiii pX|>i'rLIDvut>> tin' )<>-)<niu i'Mi)>]u,vi<il no* k 
Puri'fully ]iiinllr<l )>rf< I lu ration of tlie fi-riu<^iit, :is fn^e a* iioo^ilili.' fnmi iiU trin'Mi of 
Millii'riut; Lillitiiuunoi. rlr. Il in iiiiiiroAwBiy to weary you Willi ilctaiU lit HniMnitiiill 
•ml uivilicxlh of i>iiril\Fiili«ti;'nutflc<> )t> to H»y tliut tn-» }>L>p^iii (li|>i'!iliutiii nii ■ larittt 
ttn\f Mum cartittd out, 150 Rmiu* iif tbcpumiTynluUintiliirati-i'l Winj; iinoil iniiHih 
dlj^cwlliiii. Ill Ui« lltat ox)inrliii*iil (lir nilxtiiii' of iirotciil, piTpiiiii and hjilrunltlotle 
Mti<l wiM waniiM at40'''fiiriMvviit>-twi>li(>ur*. In the Ktvomt iliiiitKiiitD, n aiimowbat 
■iTuuKpr popatn r-nliilJoii iriut (MTi)<loy«(1 iiikI Ihc iiiUtim< wuh kepi iit A.V ('. fur tva 
ilayn. Tli« fiiil poiot ti>l>e iiolineil hi tli» rMiiItt olitsiiuvtl ii the Tclalive fiinUBtioo 
pf prti(pciiu>i> ami jii'iitotja nnilnr tlieai> naiiionrliBl wiil«ly lUrvrgnil rflBditioiia. The 
IwcompanyiniE liiblo brin^ptont IbodiflrrviicM ititli Biifflaii'Dt rluiimuM; 



DiSMtlnn. 






ilallU. 



RhmnB. lodafh 



M 

« 
I 



rWsmi. 



M 

t 



ThoM figOM* Hir tr> Im i>iinsyfin>il ulniply n* nii iipprnxlniitllon mnntly, tiliipi< con- 
aulerabte Iom nHliinilly oi-nirH In tli<< iM<piitntli»i*. Tlioy llltiiilxili', liowwor, u fm* 
ttirv of |,-n«lrio >ltk'(-'<li<'i] wliit-li I tlitnk li»» b<'i>ii iilrviuly rlKHily iti-iiiiiiiHtriili^il wilb 
otlicT pniUMilfi. I>utb ill iiiiitital niiil .irlil'ivinl ilip^tii'im. vii. Iliut. nuilrr mi (inlhisry 
ciivumniHii'-iM ilo orti lian- iKninpluto I'liLivi'rhioii of lbi< protciil 'iii<li.<rgoiiig <ligi.-alioiii 
iutu P'-pti>iii>. Tbi't* bIwii.vh r^iiiiilh " iv«itliii' of pn't-.mw, wlikli jitv rcrj sluw to 
iitiilrii;u f'lrlb^r tratiHl'oniiiiiloi) hit" iinpl-mo, I'sr'u tbiiii):li ibc p«riti<l of ilij^wtiun 
gri'Blly tvu^lli«ii«<) I'T till' ■•lri-ii]:ili ri( thu rnniiriit ■oIiiI.Ikh Iio un-nily lucii-iioeil. 
Iii> Juilin) uvtioii uiiiy In- rtpiil up t(i a n-rlulii poiiil, lipyoml wliirb fnttlivr roovcr- 
■kioQ into true ii«pli>nH i« tiliiw ami Hiiiilly i>»iii««t Ut iilmuiit a ruuijilplv alamlKtitl. 
IliaB, in tbn two rxpnimuDta iibore <]iiuti-i1 contiDiiiilion i-f t)ii> ili)tealion for teii 
(lays mtnltoil only in tbc fotnialiiiii »f 3 jwr ii-iit iiu>iv pL-ptmii' tluiii in Ibo iliortnr 
>l)]Cn*tiitD of nvoiity-twi) boitia. It cii'int not l>r uHOininl, howovot. fniiii tlic>i> II|{iiTn» 
thai till' fonm-iit wbo wholly liiai-llip diinnii Ih*- |irrati>T portltin of diln Mti-miil 
il )([■'" tl< 111 iM'fiiHl. Tbl> n-Ttiillily wrvn uiit Iho <avr. for iiiidlyi* of Ili4< pitilii^Mii 
<ibt;iliiv>l friiiii ltii> tw<i illitivlliiitii oboiix pUlliI) tlml hi tli" luiijcri iiiiil iii<>ri> av(iv« 
iligi^nli'iii till' puiii'iMrK lire ivpivHKiiioil lij a fiiT liir|[f r prn-'-iitui;!' of "wcmliiri |>nj- 
■■■uHc. lli« pHinnry priHliirbi Iwliij: riirr<M|iaiiiliii^ly diiiiiiiialii-d in utniidlit. Tliint* 
cleurlyabuwii iii iIm IhIIowuiji,' tdhlv: 



DliaMm. 



Tllwiin. 



)OAV«. 



PTiiIo TitrllOk* ., 

lUI"" \liAiv» 

MtHil Til'llMra iCBcOUOH mp.K 
DnilanirtMIOH 

T«U 



»JV«Mt. 

» 
a 

ID 



u 
1 
w 



in I 



Tbcae rcsnIU. tlicn, are fiilly in nrmiril witb the vi«w tlint in illgMtlra prot«- 
r«lpt**" bave to iIpkI vitb a vrii» ofptnurvaiveeliuiiKnirMnlltngin tli« formaUou 
«f a Mri«a of »otablc ami difTiuililv boilln known collartlroly lU prolBoms Uid |>»p- 
tonea. HtlbcrtowobsTclwni wonl t» limit out tilnna <if tbc prtitMUM to the primary 
ImmIIm jiroiv- uiwl bvlAra-ptolPote ami Ibo Muciinilary ]>iul«»<io. known aa deiiloni- 
pToieotM'. «ach of tbcae lieinf; roiisti)<!n><l us niiatcnt iu both tbo liemi mhI anii forni. 
A fourlb Imdy, known na ilyapriil*«w>, in airiiply a Mia)inUl«ri fuim of bni«Tn-|ira(«oM> 
lliu writur, liovavi^r, biiB bail fur wnuo lini<' a yrvwlB|{ oobvIoUihi, bnMwl upMi Uiv 



I'AN-AMKItlCAK MBUICAL CONUKESS. 



1253 



^ 



miu)7 iwatla •■hlninnil iu IbU Qold of wixrk, Uint iltiEmtlvH pral««>lyHiB in Btil] more 
(vnitili'X lliuii Vff l)iiv« bivN wifiit tnrall^lJM' il. Tliciirxitfiuwiilii.i.v. [ivrliaiiii, lii'Miln- 
[(■rnl 111 llii- iiiHiiy miMP (if leM ImumuH" ilvxtriiM (uniMKl iii HUi.vliilytk dijciMlinii, • 
lpV¥ti |it<>U<ii<H>, r<ir rKuiii|il(<. being voiiHlilereil iiot ni-t'»iiirilf ii>> ■ Btaxlo iiiilMiUiir« 
bill tnlliui uu r«(iriw«Jilitl>roof a in^np ofoloiol}' atliml lioiliiw rtrprEMtatltig ililfi-r- 
mI aUitna in llin |ini(«i>l)-iii«. Wk Ii>tK lionu l«f) tu o>ii«l<trr Itie poMibility uf tlii* 
viptr ImnaiiMt at tlir ii|>p.ir>'iit Inelc iif ttjtrcciii'Mil uflaiiliiiiod iiDUi'i.-d hi (b« eatopit- 
bIUu«i flf a f Irim |>ritl<'<M>- wlii'ii min-stvilly npfianilM rrviin ilifTL-irut diK<»U>» nitt- 
tiirr*. In ulhor wunl", tbi< i'<?iii|i'iHilli>ii ul' u given iiruleoae uppfiini to vary iiuint or 
Inn vitfa VBrialluua in iIif vxU-nl of iliu iirolculylic clinogR l>y vhich It liannwiillril; 
llini ix l«iiay. Ik>< li?ii-lli ami iiili'iuily of |trat«alytic utiton it|>pi^ar to i>£nf t ii moili- 
(;ini; iiilliiuiici' ii|>tiii lt>« ■■omiiroitioi) of tlio rMiiltitnt inotooHi*. It w!i» r»|i(ioitllii 
til tv>t llti* piiint tlial tlm ineiii'iit vx|iortaicnI* witli pim rrvMalll/i-il iibitii'vitcllUi 
n>ri' iiiolrrfakvii. In jirot'-nljiU- ili|!(v>tti>ii it InninlwuyH lin-n not.irnl whi-ri ciirr^riil 
•i«l>M-*<>(tlHi iirixliirtH liavi' tiitm maile tliat lli<< i>ri>ti!iii iiiiilprgciing diKi-atiun Iimrs 
ijitlioii a^ ilir tiyilnilirljr vbuii}^ |it>H*r'C(la, au llml mch HuitviHsive |iro<lucl ut prof- 
irl)'«i« iiinlatnii IcHii i-urtioii lliau ilndiiect aiitf><'oilrtil iloiru Iu (rue ptplonc. tlie Utinl 
|irudiii-l of gwiric diKiwtioD, whii^li Lutl*T body inuy roiitnin two-liftlm per i-ont loss 
oorlioa Uiau tbn iiuilb«r iirotciil. Tliii' prol»- uud li«<t«ra-prot«(iim. an prlitiary \>tn\- 
art*, fOBtaiii, M a nilo. <iuly n lltltit Inm riirli»ii than tli« jirotcitl frnm wliich Ilii<\ utv 

«I«H«<mI: vr1il)» (l«iilMr<>-|irol«<(H«. n" iiiiliiry pnnliii'l of hydratiuu. alvtnyAountuiiu 

Mill ImimrlMia: and lrii« givpliini', tLe Dual piodix^l uf Ibi^ liyilrvlylio cbiiiigr, ii itlll 
i>Mialli.-i ■uiuiiiit. Now. wliiil«vrr Uivruuililiiuiniiiitltir wlili-li ibpwi •<.■«' ml liuiljr«iiiv 
IViniml Iki-ir jccntml vliumi'tvi* art- iilwnii tli« uiiii': thi-ii- I'h^iuiial nactions luid 

Kriii't.il |>rr>pi!rlii-'. •■> fur nii wo aiw alilit In t nwrv tlii-in, iin- nlwaya luacDtlolly 

cuiHtuiil; I'liI llirlr i-lirniiciil iiiuipnaUiiHi hIiowh iniiikrit rnrial.ioii, t'ni'ihri, tlila 
ritrlltlluil in I'MlU'lbilii: tiiorr lli.-iii a inrif iiulallnu kikIi iih mlulil li» ii|.lil>>iilrd lii 
liUib ii( ■•iHliptrlii Jiiiiiliclilioti. *■<■. II is II variiitiuli wlilrli iihowii ■ i'<irl»lii drj-n-ouf 
I'lifji. iH'inilni: ill •■% rrrtnia diii-rtinn, Hiid, If tti« n'*iitl> an' i'> lii.> tiiinU-d, iiiill- 
llial Nil' ■'■>iii|i>iaitiuii III' a {Sivrii protcmu, UB iKin ilrliiivil, in Varial>li> witlilDi 
liiiiil>, Itiit nxitrt ciuii|>u«ilioii Ixiitig drpuiiiluut upon tlif li'iigtti uiid iiili-Dtlty 
l^tnlmdytlr arlioii. Tin* (Hiiut la nidi llla*tTstcd liy tile pti-xnt ■■'rlrit of 
RWil', Tbua, iu Ibi: twii dlicmtlouiiiiliciuly iloacrllird, Imtfa iMnilurtod uiiilor 
■tMntly tli« HMB mudllloiw, HZiwplitii: iliat oimi wm putillmtiil lor xeveiiiy-tiru 
biMn Olid tfan dtlirr lot Iho diiyH, uihI ltieliitt«r with a oouipwliat ntroitgitr )ip|iain 
•alnlliiti, |>r<it^n(«a nf rw«iliiit)y tlii* nniiK' nvn'Tnl Plliirurtpr vrtv W|>arute<l, but 
wllll lllr r»lloWiii|; viiiutthinfl iii niinpontlioni 



Vtl>4ll<i 

l*iiii> t lOlloMi. an* illiiMlnii . . . . 

|-i^„ , ir.JL ^' .., .„.,t .Ik'. -Ii.m 
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11. -s<Hawt4lK<-ln 

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ii.n 


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t.m 


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If tbia «M tkixinlx nuritaut lustilla Af tbn ualun Ibiil Wf liail ti><iff«r I atmiihl, 
liardl.v tliink 11 wnitby <>r rallinit ultniliun I". Iml nvulLi aloni; tLe niini<' (■"nor 
lltiv liavii Imioii riuppins ■•III iiiuthnMlly uihI to my mind tliey buvo hoiiui ajj^ifl* 
*BBc>. Thus. tli«pr»l»-vitiill<iH- Miiiaralod frinii llin I wo d Icvat ion* alio wa ■ vanatloii 
of 1 i<«r uHiil iif rarliiMi, and ll !■ to liu natli-oil that tlin lowur raotenl of ruboit 
buloiijl* la III* liuily r«>iiltiii)c aftar l«ii dnytt' dlici"<ti>Mi at 4I> . C I'lilitior, wlUi 
tilt- nii^eil pral«meH, Ibe MiPticnrid prmipilali'.or uiiiUturaof ]in>tv-uiHl di-iilcro- 
vltelliiair. iIhi aiuiie rtanll la Is Iw uolirwl. I'lirtlwr. in liulli iualiincra tlii< nilro){«ii 
IlkifwUi) aliowa » dinlnaliau *» au appuruxl nwiilt of tb« lou|[«r prolMlytio aetlou. 



k. 



1254 



PAN-AMKRICAN UEIiK.'AL CONORKSfl. 



Wilb ilottUr<>'Vil«ll(Mi' Hiiil tniu ]i«|iUkii! Ibo liiul j>«i)diicUaf Ibc pmtfalytlr ebutgo 
Ibi>t<i in ii:tB trii<lrii<y fur Ikii i-iirinltiHi iii«aia|iu»i(inii; 111* lunally mom B|tpMtitil 
til tlir I'linitry ytiise-mvit, 

I aiu vrxll awnm tlinl ilicac noalta aro opno In rflUrUm; Uinl il nu* tw rhU tbojT 
an> tlw rMiilE vf invro acplilwit; thai If llMty iiii|>t.V oiiyUiiiii! Ibi-y iratif) tilni|il): ti* 
llio)^n«rii1 Ui-k or iliiealt«D(wt* ul'lliln clit>ni>riioili««). tiniiiiiliii I uuxwcr ilmt it ia 
»>itijinraliv«ly tuuty tu vlilsiu ltiK«o lioilira nilU like ■'■■nt|><i«ili«ii ••\rt ami >iT<>r aKoln 
by ikiin|<),v IccL-ping (lie rondiliiiiiii 'I'ldrt wliji'ti Ufi nrv T'lrnicil fuiilt fimiliiiit. Itia 
(only wbiTit tbomncliiiuQ* »rD«lkaa;,i-<l; vhvii Ibi- ItnirorinMl IhmIim ■ti'«v|H-bnl lit 
snowi-il r>-rmRiit ncltiia that RfaniisM in llmlr riiiii|iatlllpii bi-j;!!! t» npiwiii, alllionj^ti 
tlir (!<>iiriul cbunM^Inr* iiftlie bn'lii», ILc ii>iMitl<>iiii (id wbinh llx'lr lilrtillliriiliiiit illiil 
wi'iirLilii'ii (leg win), mii.iiii miintiiiit. Otb'-r foriiiH iil' jiriil-riil n>;tlt<<i' baio k**'*'" iIii-mi 
■iilU iiNil. now tbnl they htu likpwiM< o1iiiiiii«>il wilb IbiH, a jiiiritr tunu at jiinleiil 
itli-f. iri; nre ri>tiviiioi.-il ttiiil (h<>y bii^e -uiiifl rr-.il U|;tiiARi>Ui'i>. n HigiiJIlrniicf IliiiL 
' bo riil(ir]ii('t«t ns t'limixliiM); iKldiliuiiiil cviitimoH IhnI tli« jiiutvitlylic |>tnriiM 
Idem) friim tln' clu-tnirul ftaiHlpiiiiil in uiih ut Kniiliial. Miftnuivr r.liAii)(i'k, 
SIllllHK iiotiinlyiii Itii' rKiiiiiilKii) nf II iii'ti»iior w«)l-iintilliil baliM tneXi a» tbn 
1eii«i<« uiiil )»<|itone; but tbiit Ibviu:, iiitiiii'iiilly Ibn primary priit«HH>^ uiny tip 
mprcH-iil'-il by a claw of i«)ii)i-iiin«iicrir 1>nill<w ation-loK nnly disbt idiailn* oriliffpr- 
euw yft nnrli ulniullnK fiH a iloHiiiln atn)! In Ibn ]>Titlo»lyli(i iHTdrrwi. 



c(^A^■G^:s in oanuijon- i-ki.i-s from iurtii to death Fitnn old a«Kj 

rilRLIMINABY CoMMl'ML-ATIOX. 



Jtyr. V. liiiDQICIIi. p.. 

U'luit«v»T inay bn iriir ••( Uir )ii»ta(i>a uml I'ertaiii ••( Ilis b>WFT inislAiiia. w-lii^l 

•illUply by l|jul«ii. itriit>iiibt«illy for ull bigbur iiiiiiiuU ibu iitorim of gTiiwin^ old, 

^aMl«■H^l!UM, b K UDrmnl pliyiilnt«){)(>nl pmoRis. tl i* niiiiiira>UKl.|>i¥>biiMv. In alt 

UM, iVtiui lbi> buiiiui. wbi<ib bMR Iboir animul inatlvr; tlm iiiiiiu'bia, irblrb w.vilr 

liwfty i and llio xlnn.U, wlilrli i>rl<>T<i**<, l'> Ibp l>r»lii. whlrb li«<«n>r>- fnfopblMl, l»i-n- 

alile I'l' lb»i>ii;))i nr nlll. I>i'. lloliiirM uiiiy Ukn iix<Ti|illiiti lu IbU Ut*l t-lali'ini'nt, 

nd bu lias pirid rijrlil tu; btil Tur tin- cnuotnl ma «t ■•Id ittvii nml nid di>i:>> lb»t i-an 

ni>l b'lini ii'>« trirkn lbi> nluivr lixliU llilr. lb Ini't, it Ih Hiirb •liiiiiitu rvaniidi'' M 

Uio <ii>i! Jlint [iiiiiinl Ihul 'ITKI-' ti> II |ibyiii<ili>):iiuil nliidy ol' s|>eiii); tlial all iiiiiy gtiiw 

iM •■ i;tjii<i-fiilly »• l>r. Ibilmi'a. 

Sriitrh hIioiiM bi> iiiaib- lliniiijib kll IIhi tixaiM fmr tbi' i-uiwo i*t r>oii>allr dnatli. 
'rbiH i-aitMi may ])■• fi|iiiilly In bliMid, iiiiiwb-, gliiiid. hi>i1 ii(irvi>; asd tlm liilHcnIo 
jutifrili'paiidfiii-fi III or)!""" mid fiiiicliotia wbl-h i-muillluli- Ibnrlri'ln <if iiii luilninra 
lifr would A(i|i|iitt1 (bM Ti«w. M> unli prrvliiiik wink ui.ihi<« IE i<vpi'dlrli1 fiil lltf lu 
bnitiii tlio M>aT('li wilb Ibu uurvr rv<ll: mid tiiwidi^^, llii'tv iii* rrwiniia fi>r bi'lirv iii|; 
tliiit IhU iiUiiMiiit pUy* a prvi-UiJniinl i>>K' iu lli« di-lvniiinnliiii nr noiiiatir \ift, Il 
U UUi<, riKKuli' aiMl Hf rTi> am uriiiii r»r(rr«l In •■ "miwtpf lUauoa" iif Ibi' liody. lint 
muMila U wrtJtinly ii |mii>t Wirl of n alnvi' In l>« i-iJb'il u iiutclor. Wlwiinvdr blddtni lijr 
a Ri'TVo iinpiibuf, II coiilrai-l*. UllnTwiiM It )ln> •iiiltHrrtit and fntU rvnn to nmirtili 
itmlf, Blirivolliii; iii atinpliy if imtfin rrnm tt* nrrvr mipply. 'Dm rflrtlmn iif );Ul)il 
' tw llinrvii !■• ID ifxiMTn) nimltai:; iti»l Ibiis tlic iinrvonB nyBlciii ma) Inilltt^illy ilal*f> 
■)|H> tlin iiiitillivi' f^niiitiwiiU «t b)nud ami lyiupb. It Is ii ivniiiikjbb' and mjc 
liiliclint flint 111 IbU •'■■iinri'liiia tli-tt la lb'* "iiibTyM tlii' iktvuiiii ay«t>-iii dcvrbipaao 
fiir in lutviiiKKi itf lb<' ollii-r <iricaii>>. iiit'l Ibiit a b-ai"U Im-iv ilitrliifi Knibryiinii' life Ml 
»f|j>ii I'uiirii-H »rnui or jfionlb In r<irri>«i>ini<hiii; I'^irU tif \hf tiody. It (a uul lbs 
|ilirf^ bdwnver, tu dtacuit* ili« inipbir iDtloMire iif ii<irr» iwiitMW. 



pan-ami:ri('ak ukdicai. conqklss. 



i2r..=i 



Inajioitiuxnr onrnial ilnalli nml In wnNKkiitit atuuiiic ilM><«1]«ar tll«> ruHoiM ti«- 
•»«> fiti Itii I IIII4I-, I nifi'r. »l riiiirar. III tlii<iFri-Uir.illir )>ti,val(ilii)-ii^i<l il.viaij:, WIibIk 
■Uwlli i* ruiuiiltruiFil Willi ilk<«(w nl lil<liii<y, iir liiiis. "t Iirorl. xtiiioiiiBlinn is uikilt- 
•if t\tm' "ii^n* ami lli«ir tiiili-il'i^r i;ivi-ii n» ibi' uiiiihi' oriltiatli. f-ivit (tor*, tl 
nliuiiM lii> ii'iiurkMl aflHl*. (tiv Ton) cniiu' ol'U-ii liiw lii>bli»t lbi> •■riTJa iUi^lf lii llm 
uin-vi> fviilon wbkU (^iruiiti it (•uiilnil. With man Ihi* pmrvui i>r |>liyi>lnli>xlt<:il 
dwlttiv iilloii rKarlHv Ills ■ttiU" of "■■■l»*<'i--urir, ImiI r>irrly I|m> |i>>IiiI ••< iirUial ileitlb, 
TU* fMit tlint it U u BoTKiiil iiriium* tnnilnrn Muin'b Ivr llw cuiu« naiw IIhi Iivi* Initiil^ 
t Hii'l only otiliJni-i<s ll> Hiltiutlllfl Hiitnllli-iiiier aiwl ItilAtml. 
Iir nliud- iiMj wrvv til liiillriit'- tile t'liiiil at vl<>w friuii wbtnli I 1iav« iimlorUktli 
hliHly iif Ibu iirolilmii. Tlir |iii-wiit (napcr r;iit iiuly Iw |miI fi>tunii1 iia a )irvliiii- 
liiary mimunnli'iilMti, t^iiluvlyiiii; a y«ar'a wurk in a lixUI lii |iri-jicrly ciivut *i bjfb 
niiot fiviiiiii' Uiv iiiillril (■tlorln-'I « hiiiuWrof Riiclirrn fo* iiiiiiiy } i-ar>, At any fain 
a innii'lciil imiiiliui' i>( ■Dimiiln nbiiiilil be oIiKllcd, III nil luaiK^, t" "liuMii ■■> In illit- 

ttuitiiUli apnTuI rmiii eniiiirii) miilu. 

Cbaiitfn ill Itin wnlU "f t\w MikhI rcvu'U wiihln llii> liraiu Mttd nplnal nurit af tliti 
njfni. Ill wi-)l 0* iirlnriiiilii iir Ui« iiorin IImiio IticH'. bnvii alrKiiiIy linrii Jiwriilinil. 
Jii>iii;b ri-lulnil, tlifSHi Lira iwliln riuiii my |ilv>u>cil f>ilr|iUH', u'tiii'b I* l<i •'OiiIIiIk 
pnU<>ii''iilirnly iij liiirari'Ilnlar |>Ii'iim>iiii'Iiii. TIk' rxnri >|ii(i-ti>iii in, fVbat itiiri^r 
I III Uhi rvlln IliiiinM'lvi'w ran Iv ilivMiYi'm! by iimij'Ui imiti of BJiuilur iivix- •irlli 
I tlw yuaui; aiiil tlir ••lilt In tbi* bi-Ui ''rhiillxi-' bun iill«4ii|ilvil lu pnKi.' Ibiit |Mit> 
wnalBliuii -ir Kuiiulioii Fell* iiii-iuiuMis wilb a{;v. an<l I bin lias bm^ii >uwi<piiit«l witli 
|ial]iiib'Ki''iil |>iK>i>'i>U>ry i|i>it«i>uraCli>ii. tti'tnifi't i (i)i|iii9hi« tb" iib^t or any hikIi rihi- 
umIIiki, luniiiiBiuini: Ibal |*t)Cin>>ut •very wbcrn la Uia biHlf h iiviil«D«i> cf AtiKttluiwI 
Brlldty itlitl mil ••! iliHTiiy. 

OlNMrvaliiinii wlii<li I wlkb In r«|Hirt al thL* tltiie hiiv<< Ii«*mi niiwin ti|ii>ii Ibo Mlow- 
Ibx tii*t«riul: 

Ktiat, llii- i'"i*liniiii, ■rTi>lii.-lliii&. pvfriral «)fil. iiiiil fiwi r«4i'ifial j^uglia of u aiiin 
; iif oUl ugf at VJ ymi-n. So laf n» roiild lie iitiKrviiil or ■Mmiiiincil, thuko i>f 
^Ui WM mil ri>iu)iliedli-il B'iUi ili.iniiii-iif iiiiy Kiirt. I'lirliig <lu>liint twi> yotihi li« 
Crailuiilly t" mitiliit [imro unil iiii>ii' iilcrp. piuiuilrrably iikiri lii wliiliir Ibsn III 
Iiul it Ifrvanin •liOl'-iiii l>i an-nkcii blui fiv mrula. Kltnilly llil« 
libit- Aiul a^rrr «ix ilayi- "f IikihIiiuh tr>tiintl<>ii iiml jml-t- ^tvw ivi.>uk«r 
iiaki-r anil (in^illy oaaanl wilbixit ihi* ■lii:lt(<-tit 'iruiu;!!' i>t wren ■iiovi'iiiPiil U> 
iril lb* piiiiit iif 'Iralb. Till! nbuvc<niitiiril p;iit« wen; reii>uvi-it II lioiira piitrt luur- 
, trni. aHil *^t» |tn>]ian''t by iiirlliiHin In >>u |>ii-Ti<-iitly imlluitnil. 

l<«M'iMit1. lbi> Arol iv-rvknl k.iii)iIiii of u luuir- Ai-liinkllloil by acDilt^nlnr Ulrtli. 
Tlili>lt |ioi llou* »r ■--■trKbriiiii. rniilinlluiu, uml lint ntirvii^Hl uiuixHa at ■ iiiaH IiIM^hI 
I ^^f wrlilntii at llir bl-i- tit 4T. 

I'livnli, aiiiivtiimiiiiliiiK^uil gtkUiiWn tit Jl <ilil biini^y bi<0i prnpamt alili' bjr »iil« wllji 
Urali»iirill<i iiHiiii- niiinlii-t ■>■' yoiniii bLiw tuki-n aa llii'y aiiKil|;<-'<l fltiin Iba btixHt Ciilbi. 

Ill Ibii liiiiiuri rnnrbniiii at '.'J yi'am iif uk« ii» iifiHinnn I iibiiornialily baa hiwn 

ildtnli'il by iiuiibniU lima (ut •'ii)|ilaynl. Ily ■li>' nuiiiv aciil-biutimmiil' iiK'ibiHl <*( 
llalii-u y (!i^al. Imtb ai In ulrr at call Bii'l tiuiiilirr of iimriwwH, iii-nriMin, nixl ili'ii- 
■li^itia. ■■iiirylbiii]tnj'|<i-Br« iionnal, TbiMil>>'>bi>l'iiiaj;"Ul'>ttiirri'niln iihtnil(l)>, nml I'ln^ 
ilnlr Iiiiil UM)(l|i"l> iliow tiRiiul a|>tii<(iTaD''<i i>f )>n>(ii|>likfciii, nllb nmnlitrruhtn |>ltE- 
I. tiiirli'l lull mill rimr ai»<l uiinlroll |>niiiiliioiil. If (l<>);nirlullvi> i'Iiiiiiki'm iiln 
fill, tlMiy ibi ii'il Involve II •'idlririill; lar^p |iii>|iiiit|oii of ixillri ii> tlrikv oiid tn 
tli<> unlluaiy nliuly "t (lir Horlinuv Tbi' r^lls of I'urkitijii iiiipa-ar I'ciiMiitiirably 
kliniiiki'U. bulb iiiirkii* uml |>niln|iln«tu ; tb<>il|;b ti>>i iih>ii>ih> llnin iti niinnal ilull.v 
Ailii^i'. Ttiun) aix nlauX'V |Htr ■■•■lit fi'wer, by timiil, Ibati in sorllun* or n'lvlivllain 
•■) ■<- <<<'■■ -"-"I Miuil, rut nl lbi> asiuii •iTnif' uf Itii- knifo. TbiH ililfiircnuK way 



-I AtlllWk-lli'. ('■UintJi* UMl INIIinl^tMhi' VHrteiliTiiiitiTn ilna lUUkounuriLi. 
»«nt.<*<MnilM twi II.M. laiUd I<<1. 
HiMlw. TbrXwT*CDllHalU>»ul I<m>n«tia'. ltt«ta.UM. 




PAK-AUERICAN MtttlCAL COXORKe-S. 



1256 



noi \m uliu<iniial. Mo«t Dtrlkliiic itdlVrniuMw wmr hi llio c»11« of tlte •plnnl kooit)**- 
PowiMt tlic imiHt iiuiH>rUiiil of I'lirne In > riiUuriMirthn iiii<<lf<o1uK tixJaln villi iudim 
kcjtl ill MilU uf (be n\i\ mini. L'liiixidrnuK Uii^ tMr wiik^b Uil* orKan i-Iii.vn In prtM- 
, cHmnf rrproiliirliriti. iiu<l il |>iw«il>ly |ils)* iioIiuh u rA]i> in siil>t«jiirriit |ilijniaI(i^;lftAl 
^flliKliftim. ibio fLivI Diiij liaTv AiiitlFni;,-niU('jiilvis L'oiiiili"! willi tliin id IliecoiHlilhin 
of lb" iiiiHriiit,KiiiiiItl{<Ml-]}' hIi rill) knn null wlUi irro;;uliir, JA(U,'v*1(>i)tliiii). In cam of 
(alii^iio till' iiiii-li'ii^ -liniilis tdil at Iho nuim liunr k'"'''* ilnrk. Iii llii- (ilit-HKeaiinni- 
uii'Uh Ibi- iiii'lriix liiM Bbr>iiiki.-ii mill r«<iiiuiii« lifflil, n»l liikiiix Ilitr iitalii inorr boovlly 
tlinn Itio 11)11 iiii>t(iitliu<ni. *iuot<-oli iin.> liiiici' sikI rlpiit<-ty Hiaiiml in curint|inii<llHiE 
pcDk (if llic> firtua. and niicki iin> liir)i;e, ruunil, aud ctenr, nut i> Hiiiul« i>n« tivini^ at all 
abninkcn at t\ark. ir.tiiiRrik ilrawintp of Ihi- two nte abi>wn tu tig*. I udil 3. Tti<- 
IirntuplMRi ID tliniilii iDun ii ti-en to liii liiT)[it1y titlDil with pigoiiMil and fat.botli 
■iibUnui-M :>ptniariiif[ lilnck la naiiilt^ ai^lil «|Hiriiiii'ii*, lli«i plitiiinut t>niii|{ yellon itai 
tiie tatty io*»ni'it huius tftttft>fali>A by largt vuniiuliw In •nctloiin by tlie onrruaiva 
■ul>liii»t« luptluid. Tile cl-IIh of tlif fii'ini iKintain iiliiioii nu pii-iiMiit at at). 
Tlio ubuTu □omparlkiu niuf I>cbI W uiiirvtised in [dl>rilur furiu a« fulUiwa: 



I 



TaIIIJI I. 



fvlaa. . 
OUIteu 






VVl CIHl. 






law 

!■ ft 



iriUe. 



ii 



II VM mit foiiiHl ifMHJIilo t4i icain iDiinh llitlit uiiiifi oxuiitly Ihc pultit hi iinnttlon 
IViiiii Ihv bi-.iin ufilii' iii^ii Kllli-il by iMu-lilfril. Tliiii «riiiiuilliiiijii>'iliiliiii*iit: ainreit 
wmi hojiFil tkit il i)ii;|;lit rniui'li i> 9|>tTimi-ii nf liiiinau tiralii In jiriiiK' of llfii Itnt 
(vimjiHcatoil by |iiilhi>li)gic3l ivnilitioiiT. aniiii'ttiitiu -init^ ilifbruU tn uUlalB. Tllf 
nmu Vint, bowcvPT, a vnnlirQii'd nlroti«lit-, iini] by the •miiir iiriil nKlttui), u|iiiii 
ntilillH of wliioli my (^iMiiiiriMiua wi'it in lb« uiuin foiiniWil. fully ninBlvntba of the 
i;aiilclioii orlla in mrplDiiio auil npiiml Kiini;l<* kIiiiii"-! "* Mack iih fnt c»IU, abvifins 
no alriirtiim wbnicvoT. Wliclhnr tliii nlcuhul bnliit biu imytbinjf luOu it'iih thia 
riwulr ii'iiininH I'-ir fiirtbiv (ii|inrlnmit ti> ilpniilfi, Tlin i<>«i of Ibn cclli atjiiiHl durld^' 
QDit ifir raiiabtiTiibly lillml vitli |>lf;iiU'ill atiil fill, bnl tJioWcil larK**' ■^I'^f HUoloi 

nnili»iTni»l»iKli>i>II. 

Witli till- lioiii'y iKw, vxtHirlniMila miild Ixifiir bi>tl«r <«ittr»)l«il, aiwl rmoiu an 
iii'i'iinliii^ly iiiiKi' <li<l!n)ti^ Tbu yono); linvi K<-ti> nmsbl in lbi< n<'l of nrawlli)^ oat 
nf l)ii> briHitl i-i'lU, 1'lipy iin* nl lbi'< tiiii« prnrtiially rvudy to bi'giu tlinr lifo work. 
'rii« (iK'l lliat ill nil I'lmi-H Ibe li<iuoy niir wiin fixiiiil nidili-raliily ilisli'Dilrit witb Uuaoy 
Kill WHO l» iiiOiruIr i> iiiiiriinii nntrltivf ■'•inilllloii. OM b'-m wnuiiliuwiii by •' i%0 
■titn*." n«m nn<l fntyi'it wine*, nbimlt"! bail*, iinil uuiiithI liuliavtor. Tbii liut aaa 

nf N) iiil IIM-. VVbiiii » bivr I* iiiirni-rl, nil tb" ii1'l(^bwlii-il bi-m un^ hWi uIkI ni-livii 

111 |>rT>lni-linit Ibn niuib* «r In ■niiirinu wliiil limn'y i-ni*li inn ■'•irri. llm- uivt llinn, 
icriH'hilly I'd li>f>imi<'i-iifiii<r,y>iii nia,<i ••bwi-icubeviitiii'tl} biiiii|>i'il n|>, lalLinjc tiniltii'r 
t»)i ii»i'inli>ni*l in lbri:<'nrnil ■'nntiiMitioii. l^nU ii oii« in likely li>lH-Hr tbn Aix"* of 
•'Xlii<ii>i>af;c, 'niurxiwiiiitriita wnrv luiflo ill Aiit;iiHltluiiii);i> |iei-iuil of bi>iiii]r<l*«rlU. 
wbijr tile biuia wi-iw ")iKillu){," In i>tiW Inabtaiu mnillH iii ttvn an |Hi^bti» fniui 
Mni|i|i<'aliun«nitlifniij;iir. Thiiiunttrr will n-<|iilr<i riiiiaiili-niiiini I'ltrlliiT un. Tbn 
yunni; hikI nlil br<a weiv bi<liiiai|i>il, Ibi' I'tnut Uliil aidf piirtlim* nf llm akull ii«iflkly 
)taml away witb n nbiiri' valpnl mi an t<> i-vpiMu Uw brain, uiid Imlh wnnr plwH'il 
III lbn«uill« WBlrb liUna <if I fur rMIt vWltr »rtd for two bnnrM. I'miU tbl* ttl*}' 
pimud, witb ibnobl uii'l ynani nlwtiyn in tb« n*iii« iHilttuH •» ilifJim, llin>nf;li Iba 
uanal tloyi* t» hiinl pamflln. ubiiiv yonnc uiiil uM wrre t-iil niilv by stde w itb ill* 
aauin Dtlukv of lb<< w (ton knifi-. In im raitf wetv npi-iiiuL-ua l« bH Oi><u)iatcd anpi- 
ral«(l ill pMalDg (rutn lliv lirliij; Iw tn tlic wikrottinpi' sltilu. Wbile parting vO Um 



I 




PAN-AMKKtCAN MKliIC'AL CUHOHESa. 



1257 



memU ra|M 1 hm Htrapti lijr • oiiiarkitlilfl itilTi'mnoa In Rlu IioIvmh y<>iiii|;aDil old 
vruiiia. TImi ymiiif; l>rairia lill llwahutl ■■•lull llui ll imlllhi'iiU tv lid iilT llio cliitjii 
knlxml lujuriu^ ilie prirtit l>iO<iw, I'br olil l>ru<»« wa itliriiukrii iuUi ii lliil rakv (ill- 
hill; t»il tiiklf llioraviijr of tlicokull. )r l« nait.s lu vlwi'tve tliis wjlb tUe uuni-lfil 
bfr. Unuoua for ilir uIhii'ii will a|-i>viir nbi'li «XHiiiiiiiitj»U Ik inHttt- uf Ule niTCtJoiU. 
Brtir^n wrn> lai o^ili u Mliiot tiilf>»l»iii>. ii«vr iikhIuI, 'I luiil 8 >' ttiiiik. KorLiaiu of 
plui 31 ]r<MsiiK bmliwi ajipKHTuil nitilur Ikn iHiiiraanipo a* luimh alike iw Iboiixli Ibuj' 
|ba>l bpirn suci-Mikiva MicUiinii rut friini tli« mnii' brain. 1'l(« iiiirt<-l oiti lurK" imd 
lil>«r. Tbi'y um, in farl.Hu bf^v in [irn|ii>rilu|i tu >ilm< «r<vU> Itiiil tli«y iifimi rruwil 
Inw aiH>tli*<r into (wilrlHiilral iiliu|>n>. Tlila !■ •Jiuirii In flic. K, ilrawn (ttmi Uin anl-PM- 
nal l»li* ur>»ilui; tiiti; No, I. rmlaplakni H|)|>i>utH(lpn>"' iin^l i-vi-uly |;i»iiiilitr. In tlio 
bill Imiitk |iri>l»|il>uui !■ all but ■liu'iii, li^ini: r«Hlii<><"l ■■> n Tciw Nbr»il« iin<l t^raunlva 
hwlvinnii iliM Inriiv v.it'ni'l'M wbiib lill tli(> iioll, Tti« iiitolvi tiro vIiiivkIwI in man}' 
Iciuw'anliiiiMl Iwyuml ■•-'•'I'liill'io. Il^rv, (im, ta w<! rouiiil in tliotiiiniiiiicnuitliim i>clU, 
■Ui* iin>'l«<i In ipni^nit'iiui- iIccivilh- 111 nu'i. Iiul <!■■ nut ^"w ilurk ami itmiulnr iw In 
lbli|{ue. Tliini^ivtal r»iiU is i>i>t so iiai(-tm (i>ro1<l n* for .loimii hra ids. anil iiatu- 
pall* to; txraiiwit iaof r(iiir)H-iiu]i'iMit>lntooLtiiiu olil liri-H orunifonn ng«. Thit iik<> 
pi|!iii> by wbirb tli«y u-ptr cIiomoi utp n<> more uiiifonn Ihiin Ifat n|i|>i-ninnf« i>r tli«- 
HirtiBA. Tlip abnvp ilmcfipti')!! itpplim liliirally lo tliA fitri'iimriiM^; iinil notour uf 
RlinDlil brninn fuilol lo nbniir illirirTKiif-M of rtie rbniuptor itiiliialnl by wliifh tliriy 
ICniild iiNMly Im ■liUiiiKnUbi'il from yoiiiiic bitilii*. (1'f>iti[>nri- l)|t*. II iiii>l 4.) 
I Ib ttdilllWiB tn ilir. u1hi)p, lbi> moot tioliin i^tliy tomiII furiilxbril by IImi Iim* la tlial 
|'llii> efllH ikre uiirb inuro niinivroiia in Ibi' yoiiii;; Xtmu In IImi «IiI. A ■'oiiulftf '£i 
bmiipa of opIIm lakeii ua nearly alike na fiiinaitilL- in nbl uiiil .voiiiin; gii'i' nn nvetitgn i>f 
pivU In llie iilit Ui 3.1lr«llii in llie jxtinc. In all (•■»> tlic rtallanerp fawvr in Uiault). 
Bn a foTiDitr avrim of <>:i|Hi(iu>eRlH ' Inmi iti<n> fcillcil luoiDiai; iiiiil iiiKbl, in otilor Ut 
■lrinuiiit[Ut<-. if I'lHJUr, I'bimKi^K In brnlu r«ll» oviuj; tii fjlliifuu uf ii (luy'a work. 
■KrlKlriiorai In iipiii'iiiiuion ot iiilla vtrn- foiiiKl ubli'li conlil not )•■< ai'i'oimtoil for »u 
btniinila "f >li>ll> fatl^-iii-, aDil II uim tlirii nrK<''l (|>- bV-)lb»l Ihronlv (iiriabtcwlibb 
biinlil ■rpoiiui fnr tli<-ni iiiii*! Ik- :i illllnivni'r in iikt, TI>c (xrnKiitKiirii-a <'tiul)ri)ii> (lull 
bfilni-Mi ■ii>lniiii*l) llwi tit I'ninri- no Htiiily of l>i>rvr-n<ll fiiiiiftic- i-un Im vonniilr.ti-d 
■nalniilll Jnnt nlixuiiiHii liu* bvrn iHaib' fur iliiruipuni ilim [<• ii^. hull)' liitlcnii in 
nm*ni<i»t Im u'oikcl n\-e\ a);iiin n lib I bin poiul ill vikw; mill jnsl buw fur ri^xnlla im 
bliijiiiinl III illniniil fiilltfO" "f binli may liarx bm-u i'iiu>|<Ii<-iit>Hl liy iigi> <<iin only Im 
Unt^rniiuiHj wlwn •'buiijim •Iim' to aictlii; liatn liivn ■lu<ll<>il in xiilnu on>-, it ItutHl, nf 
piilM rlaiu. '|'*>l* Ixiii)^ It* lurk tn itir lln-t iii[)i#l'lniaiiti>. In wbirli ■'orrtwiioiiillnit 
■nil* iif ilii> aania unlniat wvro raia|iar<Hl. tiniv wi iani|>lit:u(ioi> of >ki> run biivc 
■nllnituaixl r»<nlla. tt wa* ilnuiunalmtnl tliat in lliti;|;iio tlu-rcll |irt>loi>Utiia Intritin* 
■rartiolHl'il, llie niMil>ns >)iiank aii'l caniii (« iitniii itioiv •Uukly, ami Ilia hui'UiiiIim 
biuwi-al a b-niluDi-y lit tlocry— " lu ntu-, HitbittiRli IbiH la not nnoitBnl. 'roatiinony 
ptiMii all al<l«i |tolhla lo (ha niM'Imliu iinil nnrti-u" ua ilio wmm' of oriftiit of (lie put- 
P>)|ilaMu. In i>\tii<aiT nun vn llnil )ir<>io|>liiKiit varii»tiili>il In bi>i». )>lKiiii>iit**l mninn, 
hutlvn* •litnnk'-n. bni luil itwtW', a" in i'a(li:>i'-, iiixl llii'nnctpolnx ntiwnt from nlnruro 
nn>|iiiitloi> of (wlln la iiinn. Ttm nriTp crWtmf lbi> biinr.v Ih-ciIu not |>>Hn><>«i n8liar|tly 
U*Jln»l hui'b-iiln* liko Uml i>f vKrl«liTiil<v>. If iiit) tiling nf Ibit kiiol iixiata in IImw 
bpJU. It loiint bi> (r|>inw<iiiMl 111 hri-unlir KTnnnlm, lu iiiiliriitiol in liu. It. Tbi''«, m 
kn> W iviiin In fi|t, I, uri> lars''I.V nlHwnt from iiui-lil uf aii<-il •■nllo. 
I Tbn niidlriii tiilnu Ibn •mirve nf ifi|nv<-nB[ti>n fur lliii iiiill |iioli>jilii«in, ihi' ahnrn 
■HfnnM •'vni In liHlir.ilx iImI ui^> |h of tlin nnliin' nf dniil Tiill|iui<, lllial, bpiaiiH) IIhi 
■MKRai of mirrtty Tor llio norvi' ni'll li-i* ilrlnl n|> at tbi> fonnlaln b<-it<l, |>itrriiaH< iit 
■Mllwr would iallniatn thai (llnyonltgbfwroiuianiMMUl ai-tlva llfi' "Uli a hill (jnotn 
BKma Mlla. t'llllBiC tbv aknll ua Uiry du. It 1» dlfllonlt bi oitiniilvn, *!»«■ tbi! 



_' *lt*djp. Alt)tmw»|ilrallliaiIy«rmiM«HilMM FuattlMd AMiiHr luMa'TCCrib. Joaraal 
af UarjilMlair. V«l. in, Ilaituii. iMs. 




- A ■ t : 



* -.p , .1 



-■- 1. -;■■-. r .■ . 



■: • . . ■--■:- -f.rll. 

■ - ■- •-,■• ■;c~:i-»c-Tc ■■( 

- ■-■-.•-- --— ^- i* "fsnj 

-.-;-:—:•?._ J-iNlbl 

---—.. -.•-■ - ■•cp^rJnMiil 

• i~ .:_. .• J •uBkrlfain] 

:■ Ta* abarr ■ 



■I.:v- -TTVII-ATIOS 



■-■ V .--.i- -F yj-..--.*. 

--: -■* :;- :_-:L'-i ha# ma 

- - i= ■- aI-> .kf:eT ihr III 

- f-i-z:: :■>-.. -J—. FrM 

" .; " -1" ;.:. li* l:v-.D|[nll 



■-- "-- ■ .— -i-rj I'rom iii frual 

L "i. - .;n^ :tll t-liwd 1(> 

- — ■- --■'. :l-"yiii[Killwtk 

- - "■---::; :T.« pleiiiw-pFri' 

-''..-t:«," Citril. uiMlril 

-".'.*. I n Sit iiblii^H 

".-■,- .riuii^ij fr"m tb 

. ■^ ■•■ -^ r ..f U\i* llwfilt 

t-^r. Witji antiripiinl. 

:. :;..n w-tli a ly]>iril 

> '--I/ r\'-i>«-d fronn 

■ ;[■■!■ oi' Tiuniij] ssll 

■. r.^. I : A!<Iatr<'frliiB 

'■ .■:;ii'ii:o:illy dijiH 
_: •■■ •- • :it iu i:* Il^(lp^B'l^ 

• Ti::!.-t*>r iit-yoiiil ocnml 
<. -: :-v ia ^'vrv* C«U*. Jgunri 




Km. ].— Mlcro[ioo|M^ Mta^ebfclrode. 



A- <ilD>H iilaii-. 

R Two platjmim wIivh Laul in KVtxnei on ijndrr rtJiJe of jrlaU-aiiil rising (lirDU>rh plBtf^ to Iw 

■■s|>>Hi-'l iHii ii]>iii^r Hurfiu'c (o A^r^'f^aHxIliiiMlaliiiif 1I|ih ikl — 

*.'. Kki-cwmI |h>rlli>ij of eJet'tnul***. 

It. Hlulmiiiik wireri [o Hupiriirl ii>V(-r rOip. 

K. VVJri-Kli> Unhkaloik i-oll. 

F. Tri'iiifh lEHHiii't iri if]a«NplAtc looarr>' off sdfant of ni^niiaJ Hilutkm. 



1258 



PAS-AMK8irA\ HT:1>I''AL nnNr.BRSB. 



mIiiII !>'•' •liH-H (lat n><>iilt, Ikiw llinto t«lla ma lliomaM- lulivti hi elllirr •!«• nr ' 
lirr In •iiliHi'iiitnnt lltv, Tn nlaiX irilti llii'fi- ii. in liii<-I. i> ini|i-'rii'<Mii-)niic" »r] 
wlikb funiiiib Ihc :>uiiiiul ii<it ntily <'rii-rK> tti mniulaiii iiliil iiiumnrii niipi< 
lire, but ill iidililioii to tliin.<-iii.'i({> r<>r lliu |iMfuiuiiiii«t iir nurk. A* tb" wui 
llfu is lii-iiij; |<i>rf<>nii>-il, tlie iti'IU. niir liv ■•iii-, iin' woiii <><ii. A ■Uki' i>i rcBchoiI ' 
■•ul; pnniiKli f^ll* lo'iinin to 1-»r><ly nitfijiiirt pr<ir<>»Mtt rM|iiliilt>- for r4iti<iiitiuiii 
life, no i-Ttiii iroik tii-init |i(iulli1r, l-liiiitlj' Uiln iiiiiiil)cr Tsit*, mill lli« l>iurttil 
llff umi-t nuixc. 

Ill tli(- uboviv ] do not H ish to lio HBilorMood M iRSiot tliBt ni'rTf Hh>«i< in u( 
D)an> im|Kir1aiici> In rvlnli'iii ti> {ibjaiolocirii) d/iiig thiiti iiiiy niticr ItMUR., Jiu 
piwlllim li«M b)' iKvcb lUaiw in iIiih rosnnl ixml cleiirl.v l>it i1i>t«<miliic>l l>x iixiipriii 

Tbn worktiiK uut of •hu rlmnt^w in iliv tluiiiw at a iiitrini n( aniiiiiilH i» luiaiv 
whl'ili rli-orlf ti^iiuinw, n1>i>v« iill (Iiiiijc, liiim fur lU •-oiuiiiiiiii.-iiiuit. Tim ubul 
iml furwanl in tlm hnp« t.hnt vslniilik nmlxrinl ubirb nitelit 'itlirrwiw go lo 
Bia.v Iif iillllrtHl in iIiIm (■(■nnci'tlon. (llhiit<ratJuiiis mil furawlusil.} 



A MICItOSCOPICAI. KTI'ltV ttV TIIB NKIIV'E CBLl. DUKINO STIMI'I.AT 



it>' IS. V. iioiNix. rii. o. 

KXrKIIIMKKIH l)K M'IKAI. AMI* KTMI-ATIIKTIC flAKOIJIlX GMU OT TWOa*^ 

Til" |iiir|>ii>ii> or ttii> )impnl Kotii'* <>f i'X|>urimpiil< U (o oturivn ftonliiiiMiiiiili 
pn'CrBK i>r (iitij-iia in tlie iirni' i«ll. lip lu llic jirnHiH ■urini ,in)- iiii>Lbii<l tia«{| 
•inla-il ill ■tuilyiii); iIhi c«Uh lit Itif •'■III of * t>«rl»l of fitiiKiio anil i>nl}' after tlif 
■IIP tintl [■iiMM<'l Uirocijiti llf Ufeiml |>ivM<i«uH«iir|trv|inn>Ui>ii rr>rlli*iiitcii>iti-u|H>. 
Ill" DM it \t:\» bevii my itfulrr in niaAy tlic ]ir<iri>m cuiitinumittly ta tho liviii| 
A ii'|ii>lt ■•rri-rmtrr wnrV u|iii«i Ilic iiiil-J--ia i>rrbHiii£4» iii Kuiiglii'ii rclKiliin In ol^ 
cal HtimLilHlioii aiul 'Inily fHti!*!!!' mnj lip r<>iiiiil in it po^viuiut uiiiul'cr ul tbt> Jog 
•if Hurpbuluisr' * 

.W>4AW. 



.M llrni »ii ikllriii|>l niiD Niil*lf> (i> oluwnn Uin cvD* In Mill with Hrrnlaliml 
InrUHl lu lilllit a^ |KiMll>h-. TIiIh wiia iloiiai l>y ii'iiiovIhk ilm viMiirn rh>iii In 
aimI Ik |i<il<ii)i( i>r I lie fljiklisl «o1<iliiM. Ill nil' I im, tflr., (Voni tlie Imck, lylli^ ill I l>liK>d 
■rU, IboB tciiviui; Itiv |>l«iilTi-|vriloiwiiiii wilb it* btonil vi-fuclH iHi'X Ibi' Kyrapal 
clmlii iotact. Siiwll I'iokn *ki« oiwI, but (bo \at%« (lifiniMit <vlli> in Ihn ploiiiv- 
tiwi'tttii itmilf. and ntppi'fiilljr nlmiu llwi MihiiI vrwwlfl niul nyiniuitlKitto conl. iiu 
(lii|><iiiail>l<' lo CPt n rlrar ihiw of tlifl ■>'lii|»llMfl)i' eiiiii;Ilitii rr|)ti. | him iiblig 
iibaiiitoii U><' iii<>nHnl. It lliii« lii'^iiiu nroiwmry to iphiovo Ibn (^Dislia tun 
li'Nly iiti'l friT Ibi-iu rr»iii Ibclr iilului'iitvil (■ii|MaI(-B. In iiiiiMiliirlirv nr tFti* tb 
li>w(ii|:iiii'(tioil wi» n'loptcil, iin<1it Iiu* |iriivi->liDiKi>U!rrii'>'ii1ili< Uianniaiiualir'iiii 
M|>i-c)ul upjinrulii* • iii|>loyi<<l -Mil l«wt )■•' iiiiili-niliHHl in ■■■nin'-i'liiiit with n tf 
p\|>i<riiilriil. A I'liir of ii|>iitul or iiylitiinlbi-lir eniijiliil 1> ili'ickly vx-lmil ft 
ftMbly pitlii'd frtu;. Kiwb of iltcw In )>1n<pt| Itttninliiilolx in n ilmji «f iiornutl 
■iilntioii on a "Blai^-^lrvlnnti-" vf lti» (••Iluwiiif; rnii^lnirilim ilit*- 1 ' : A |Tlnl«a| 
rli-ilt R^atu (At. Ill' *bi>l>n imtiouluit in ll|;ni<- anil nf n kuc \a \w rontrnientl^r fill 
t<i Htu^ittif ay^<li»ni!i'rni>r<>)>i' ■lamt, lur;;>'r >lii>, lua In ii Kroiivi nint iu tin iindM 
inrv iiKcti iiiiii|;ln )'■ nmr i-riilnr. Tt)i>w arm iniuJd iIhi|> intiiutili (•> I'oncaal Iwi 
pliillnnin win*, wlilcli uiu ni'lanulnl tn tliroi ill). A linlf ir'nliittnlor InyoiMl m 




Fitt. 1.— MLoroi«.-<^)r- Htajn^ electrodt*. 



A. nlaiw iilat(>, 

B, Twii iPlaniMim wir™ laul In HrtHn-eB un uriderrtitl»' of i>lal»'a]Kl riBinfc through pjlate lo be 

4>x|r<nHiL un iiji|h-r riiirTju'c to j^rve onriltriiiilatlij^ tijicat- 

V. KufHPw^i ]N»rtioij iif ett-ctriklei*. 

I). ilalmuEii wiivH |4| riii|ji>ort <\tvi'r nlip 

E. Wtrm l4P liijiii-tlou ii>ll. 

K, Trough icTiJUnit in elOrtH plal*' lo carry off Hin:>arii *if Jionu&l Huluiioti. 




Fio. S.— Soltins of appuMtu For gw.f^ion cell UimulAlioii. 



1 . Fluk of aormal solulioa 
S. V. GluB Hlpboiu which lead nlutlon to pdge of catr slip. 
S. 8', Bh^ot lo catch drip. 
4, t'. Stag? electrodsB tn podtioii. 

S. UrawIaK Btaud to hold card at level of slafnt. 

0. Wires mim ilgfat-hand microscope Co secoodarj' coll. 



PAH-AMERICAN MKDICAI, CONGBKSS. 



1259 



Hof tEroovtn till- |>lHtiii<iiii tviiio' iiri> liii>ii(<ht l» >T|ifii'i' MudU'v ii( f-him (brougli two 
Hplll* llxli'i iltiiiiil 'J iiiiniiiii^l'rR ;i]iMI(., Tim kiiiIh nl' I In.- vviren ure t.lirti bpul. iliiwii 
^p> lm-(11<--li(il'* jiilH til Mil- ii|i]ir'r niirriit-u of Lliu ]AaU' »'ii<il< li liiilllliinli'fs lin^v'ulnl 1 1"' 
Bt [iftl'iiriliim.t. .Shiillo>v liriHivnH i[i llin iii)]iiT Hrirlai-o uru iiia'ln di i-uiiil'-rt til" 
Bt» nftiurii iiiiir, no tliat tlir n'"''"""! i>''ri!s i'iiiiik tn U« linlT nwiKispd nn Ilin ii|i|iur 
B|te« uf |<Uili- I'lir a >li4tniii'i> of 2 milllniplera (C). Tll<>j Hr» tlii-u IINh] nil' liivnl 
Hp unrnii'n nl uliuw. Tills pnrtliill nf tliv vvlnm, iif riiilnit<. ntia lu lli» Rlt-rtriiilp, 
HI ltH> pt<<|>iiiiiil»n iH iirniiii;Hil •"> lliiil I'lllier Mir> ;^Mjr{iiiti Hrv Ik-lwhi'ii iIkmiIoi'- 
Hin nr tLa oirvr liun iivcr lli>'iii, Tli'.' •illiot r'Hi) of nii':li |iIii(Iiiiiin wire ii4 itiil<l«ri'il 
^■M inaiiUli'rl r'(.|it"-r iviri-, wliiiOi [inus In ii ecnuidiirj triil. Tin- olUer i-liUJn.tim 
^■H(1>J aupiiiii I (III- i-itvur Mp, I'lii.'^", C'lr i'iiiivrMt«iii-r, urit Imoki'il into |iilH In iliii 
HPKwi'l O'^' '*' 1"'<it mill iKljiixti-'l iiH 111 ililKrI. Iltii HTritiiiii III iiiirniiil null hiiIiiIIoji 

VtOT tll» •>) tllK'll. 

_n itit tlii> ]iliiii III' tilii't niiiiiili- <'1iHfl:niilu iini'li'nsti)iid..llie ri'iiiiunilcr of llin m^llitiil 

' l>i< ftoi>1i uT II liUiinf ill \in. 2, Uui'li I'liM't roili.' In ('li|>]io-1 In itfl niliTiinciip'' nilil ti 

111 of Tii>riiiu] nhII fiiliiliaii ie ilniivu Irntu IIiikIi (n) by mvuiiH of jjIii.ih FiijiliuiiH 

i b), H liii'Ii ('Mil ill Uriel; ilrnwii ii-i/./Ii'K, Tliosn uri* plni'cil jil i'il|;v nfi'nvur nllp 

lit*- tnmuli ( V), tin, 1 Till' ill '■Hill I'miii ll'") ili'i[i(* inhi Iii-uk«rO'). OllicrpiirtH 

iirv iiiTil III! n\|iliiiiiill<iii. Wii [low liufr, 111 iii^ III tlie ■mini' iTiiiil. I'nrri'Hiiiiinling 

41a or llii- iiiiiiiiiiitnTiNil, A jj;riii1|i nf i-i-lln iu> Uearl.V iklikn nH [limsllik towiiillit iiul 

lib pTi'|>ikniliiiii aiiil lirnti^lil li> nvnter uriicM, A ''Mil, (i|'ni>vi>r»l rull-i in i^iuili. iitu 

I'll ;i[id "tillitii'il witli uiil of riiNii'rn, iiiiil I hen clui'trlr'ul flliiiiiilaliiiii in iijiiilird 

I III Ihi- ]pri.-i>iirjitiiiti» mul tml tu Uii- oiliiir. Itut.li uro vrnt-hi-d mid iit inti'ival-t 

■lirrd olid dliiwn. Twii citnirl'iin, i-nrli iiUdfUtd to itn riili'l'iihrii]ii', witi- imi'd lit 

, (nn kIiiihti in II-;. 'J). Tu ri<nili'i llir < wo iiirtiiriio iiiuri' -'iniiiii Villi to, iiviiidiiijE 

iiw III)) illlli'i'iiii''i< ill t.liK iiii^rlii i-r Iliii niiiT'ii'K. a i-iiiiiiTii wnn rlMiii|M'il tn (111' u.vp- 

|>l«iRi>. Mllli niiri'iir linn I \ wi, :inil nyiijiii-rii iiinl riiiin'rii wt'ru Mlli'il lii;ii'lli'-r I'ruiii miii 

■il'^""'ui-i' (o llif iiltier. rttimiilrili-m ".■is iiili'rrii(>ti'i|, iint.-i>Li spi.-iiiiiIts' murk nlti-i- 

'■•liii;; Willi foiLy-livL- si'ciiinln' rust, tlin |iriiiiiiry lircnii I'urri-tit lirinu iiinili> nml 

d:|M«li»(i 1i>- a "LombunI I'liK'k lUlvrrupti'r." Tiinr Ilauiol phIIb, Bii|ipl,viDu I'lirrnnl 

•f .Li iiniiinn-, WITH iini'il ( (iiiiiiHliniil. Tin- iriiliii't.iciii I'uil nsfd ivai nnti «(' ICrliKi't''" 

I (tUHf' I' )- AhiiIk liiim rill' i-b-f tiiiili' iitid ili'( li^r liir Rii|i|i]y nf iini'iiiii) HUlt 8<i1iitl«il, 

I toff A|i|iririitii4 wild injiiji- jih Nimiljir :irt piis-^iild" In t Tint iiHi^rl in iiiv unrlii^r i:\[>priini«iit« 

and fully disi'iilird in llii' |iii|n.ir JilhI ciird. Ati'nd id'di.isiri'd tiiin-lint.li mntml and 

Mliinilttti'd Kuiiiriiii wi-rn |iliii'i'd Lugi'tlivr ill iHini'' 'udd mid Ipiuk-iI in uljucriii fur 

fiirtbiT nl'ldy iitid pri'iurvnl iiiti, 

III nil '!^ I'Xiii'Htiii'iil- liiivi> lii-i'ii Hindi', T1irF>i' liiivn viirii."! in diiiiilinn rrniii 
(il^-cti mitii]1i:>i in sl\ diiys. Tlii<y wen- ilividril iiitn a niiiti-r KiTJrH, iiindi! Iiotwceu 
Nov I'll! I>pr L.'.'., IWIJ, mill 1 ii-i cinl'iT -'4. in id n siiimiirinincs, iii:ide frnin .Jiiiil' II to Scp- 
teiiiUiT '.t. IK;t:i, Sinn- nn iii;nkrd dilleieinr in rt-'.iiltn liii- Umiin nnt (litn diviHiciii, I 
hrtvir Hiilfiliinli-d fill' it :i ijrniipLii;^ of till' ii.\pi'riLni'nts jii'rordin^ In llu'ir purpoai? itiid 
natlirt-. Il !•* inl-'lidrd In ^il'i' ih I hi- 1'i>1ln\\ i[|i; (ilIiIi- :i i-niidi'Tiitc'd Htilti-lnelit nf tlif^ 
whiili' rusi'iiiili. r,;ii;li rvpiTiiiii'iit lirni.'- itn djli-, l-iit. fur i-niivi'iiii'iicf nf rntiTcnco 
tlic uiniibern liuvi- IjL'eu ;;ivcn to tin- <'\|ii,-rinii'nla iih llu-y Ktand in tlio l;ili]e. Tliu 
tim'- nf ilnj is wiitl- ii a* :ii> ii\poii.'i)t nf t\tr diiti'. iind winio nil eN|H'iiinruts werp 
nadu diiriiif; d;iylimi , nn dexi^iintioii nf " A. .M. " nr "P. M." in ri'unircd. Ab in tlio 
previiniH "'ni'k. iitli'ti-^il roiilrrn rliirLh' iiUoiit tliii niirloiin. I 'liiui^o in thifi in 
eiprenHi-d in |>i-rii iil:i[;i> nf Iohji nr (jiiin. iisiii;; tbi; nrifjiiial voliiinii iib 100 per rent. 
Tiiuf ill lioiirH mi'l iiiiiiitli'n from bi>(;iiiiiiii^ nf i-xporiimnl:! i,s « ritlcri a.i nn exponent 
*f till- >'lirinlini;o pi-r fiiit. Wlu'ii' si'iiTal I'l-lls wi-re walidiod. encli licnrn ilB iirojii-L* 
niimbf-r tbmiiKliiMit tin- I'spi-niiii'iil. CimlrnU eiilcr tlie t.ildo only in ciiBii Honm 
tfaatlKi- is nntc'cl in l.liciii. Nn ■•ij'Tilliiiitl t i'liiilii;ii in MM- of rrll body 1v:li oliservcd, 
hFni^L- llieir nniisiinn I'rnni Inlile. IO\pi'riini'iitH 1 and 'J ivi-rt ninde ivitli Colis uf Hym- 
ptttbetic gauiihH, In iill IIil> roHt tliii H]iitia] tiaii;;!!!! ivoro used. 



^ 



^^126^^^ 


PAX-AUr.KICAX AIKDIOAL CONOBBSa. ^^| 


m 


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ji i>rr iviii. r«li 'J- ^< iti . {t ]i<Hi iiTiii a ii.4 ii»..w H 
iiirM'hl :?! ]» t'l rjk ^1 piT «^>Hiti Hiiii.iitiiA I'Hf •ctiibiL H 
l-n< IVIl I: H' Dl .0 |irl xnl: J 1) A 111 . J 1 |Kr • dill. M 






B 


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S lu. Tl |irr mil. Oli ; 1 \i 10 in. .18 ■•"r.riif th at V 
ni...l;|jui •■'111 . .1 li.L^ni. :<; |HT ii-bi. riuitrolKnlimBk ■ 
ni'l i'ii<iiij;li t*. ni'ri^'iTf^ ^M 


J 


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1> ..,..du ' Call): llLaiDi. -.MlHrm.lil.2lb. liliii.M ixrivui (Mt ~ 

2- 1 ll.;:% ill.. HU |H-l mill : :iU 11-111 . 1^ lirl >i'llt. 

11 iin Wni .Dirii.r .mii.iniiin>l, •• lor ri'Mi. i li in m. il |i«r 

riul: 2li <» 111 . tl iirr rrn 1 . t li. 4lim .IlijwmBli 21 ■ 


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I'uiiiKjl, 1] \.ayi ivtiti U li., 4V ii*r 'Dill, t'lUiiruL *■ iirr ^1 








•>i>ul 1 ll. )r> 111 , lt> |«c lant . Ill, 11 m. Ui T b It in^M ■ 








|i*<r ii^lll, c.iilriil. H mill lu |i',rfrll1. ^M 


Id 


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in ■!« 


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11 


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n ll., »i jHr mil. r< 11 1 11)11 nil. ■ 

No niii^li'iii -T Diirldilt Ti4il'1f inifillt, Xiil ■ilmiilakd. ■ 


n 


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vj-isji- 111 aiiv I'f ilii' roIU. nllliiiiiijli rlif-i iit-|*^.»i'*l"*r H 














UliWrr', fl-flll liftfKK-III MllnilllilllAII ii|<l'lli^l BIill In H 








^1 iiilliiilr* r^lul I'littiiitf iif iiiii'li'l lnTqliin 1 i*tl<l#. H 








.vri.T 1 lionrnanil M iiihiiil««L-<lliiiLi)<i1iiiii| fiiliit iin% H 








ular fiiiUlni. qtf liu^ilrl vUllrlv Ni' lf1li^Li.ii|I larbnttvtt. ^^ 


11 


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la ItliiKir'n ■nlnli'ili 1 ll. sum li'iH'r (rill. H 


^^^w|f 


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hii iM- iz< |«ir rdni, Ml, !!Oiii .M iwr iviii llii «£ in..Ti H 

1- vl M 

13 llo , 13 Ml . V.t !>!■■ 1 ■III. M 


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1.1 .... ilu ,..., lOin.. ^ v''i iviit J IHTii.H J?ii«rcf4il- ^OniuM |Krft«ili^| 

? 1' l-"' 111 , m fK-r viil. ^1 


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13 . *■ IJiii .■'■ I'lr •mt, M ni . U ■-• mil; M) 111 .U |i>r miili V 

1 h ''1 01 u>0 M )><'l < ■ 


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£S . ... 4h r. Ill .".' |i<r I.*!!! , ;itjiii., :r7 i-f^ f^oc. M 


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a .... do . 1 1<. -i> iii.,iT |iiii ('III ■ 


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««ilr 'J li,.U iwruHli 1 II U HI,. IWivr iflil H 


^^H V.XI-KIIIUKXTM WITH IllttTAL 8T1Wt'LATIIIK- 1 


^^H^ *l 


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1 dlliiii.i ll- Ii'hIii ^M 


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II !■«■•'• MiUttuil l<i III , II 1 .,.iiniii>iti*l)iniil>llnn ■ 


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' a III- roni iniiiHia rbaOKv "< alui^' miit Oiiilli Ins 


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.it. Irl-'lir'*! aLd dlBMflttM4. S~r»'}'-ililii ..r unriilkJ rub 

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Fio. 3.— Curra showlnft shrlnkaKe of nuclei la eipei'lmenls IB to til. 



FAK-AUKRtL'AN HKIMCAL COKtifiKtSH. 



i-:i6i 



■ Tfco IIMit MrlMiiB f«>l>iro of lliti (atilo U iT^liupt IM i^font lintiiiiliitity, IIm liMik 
H^ay ■l>|>:ii<'>il rflrillim tx-liirnvli auioiillU •lurnll>>ii ur kiil>'iii»ty of ■tliitiiUlloil, 
HM«II<v't lnrluti);>>of ii'K-lriiH. TliiK In ill H]>|Mr«iil illsiii;ti.->'(»i-fll nllli nMiiIttxif 
bnuM- Kiirk, Id wlii'li » (|>iantiLMlive relalinn iMtweou tlimitliiH nml »liitiikn;^ uf 
wii'lctu wu xviilenl. It in, liowcwr. nuy to bIhiw tkul Ibu lai'li uf ik^vumuDt I* 
H|ul> afiwrvul. In tlie roriwi' axpfriiiifiiila -ar wr- dniliiiK witti ■luliDiti' Hnioimbi 
■f Ntliniiliu Klvrii li> iIm> ajuuti w«>- to <'orrM|ii>ii<llupt ii^ri'rn, wbi<'b Jii tiirii li^ llii< 
■Uaittlan l» nirmtf'iilliii: jtanK'i'xi '*\}*- Tlir point tn bn ciiiiiluiiiiMMl U that tlio 
■Itll* wnre In t»>iill)<>ii In Ihn timly nuitiir |ir«i'llrs1i< llwi uuii' n>iKliti(iO<i of lilourl 
Bip^y Bi»tiiiiltllli>n anil InnlniUiir rrlsiliiii tu Lhi'Dlimiilii*. In iIhi iinwiil i^rks tiM 
B>It» nni roriKiird friini ilio hoAy, |>Ui-i-il In u Httt-iiiii or Hiihilioti, wlilrli it U Ibiikm- 
■I'lli' t-> make r>|ii:tl In Ibo ililfurml ■'(■lis, ■ml In iiii vli'lrir lii'lil, Ibu IntMiaity uf 
■rlili'li ill unf t>i>inl it is iinjinvtililu ti> n-gnliih- <it rvun Mliiuiili!. Tiikin;: tiiiHi- 
B>|»>rlal<l riiriiililn lillii [iriuiiiil. tlie ••I'iilL-nri' (or •iniililit.tlivi- ivlntioiia bntwwn 
■tIaiulHB anil I'lTri-i l», |ivu<l>lv,iui •Ininu *■ iri> ii]ti>tild cxiirri <a llixl It. The iii«miitii- 
Bl>il|it mwi vtltlrli llio (HTiMilliifvi In lliu InMi- wriv ■'<>iii|>iil<-il wrm iiuiIk Idiik 

Btul alvitl ilimiii'lriH uf nimliiiia ii» imiiiil. iritli nn lli"<li:lit Wyonil a iinry of t*clt 

BriMiitiinii'nI. I>in<'ri.'ii> ■.■f<»ii>l HliiiltsrItiw lH'iwi-i>nilil)'(:r(Tiit<'i)ii>rliii«iilAi>iiiy buHOiin 

bore riciirl} lijr plutllai; tli« iMrrvnIagii* in Ibu tiilijr in t)i<- fniio «t ■■iitw. Tkix 

Kiut >li<iH< fi>t nit lli« expert mm Is. Inur of Uie niiiot voin|>a(Bl>l« tit tli« ourrm MB 

hproilurnl ill lie. 3, ilntwit rrniii eiiiMiiucut V* in VI ininiitm. I'lNiitiuii uf roil anil 

Bilnliau am llm aaMio tn IIiml' cxjieriinontB. y«l Ihr vnnnv run ti> oni-Ii in ita faUi'iiu 

■p ilktiBi!!, ilwiaitb ainiilar In rtiiinwii!*. Uy r^r t1ic)iiuo""ty ■'''■l>«"U^'i-'" >u«<>f Uiu 

MMgotMinl Tiiriu. Tbry aliow llml (be r«II (inii raplilty at Dni, tlirn niuiv ((rAitn-' 

Hwlfl k MNIiUUini "t fallinv, mMn|>li'l<', iiL Wit, no dii' u* unr )>iMMnit nanUiail la 

^Kt« b> iuillonif. Tlil» l> •!«> in :i|i|>iii<'Dt vsrlauri- wlili rnrvn ■l<'ilve<l fraiu ■• fi>r- 

Htor woritn nf oipitrlniMit*, in H{)ii>'li taligtia wim r»piil al lirxl, llxin tcruiliin). ihva 

Mure rapl>l uiiutn, A ali"lil t<'M>trtii'y tu lliis fonri uf rur^n I* (•■iixil in rxi'-'iiii'vuta 

P^N, II, 1M, tlii'Mi all aJMiuiujt •■li|{lit unin'liDy accvliTatii'n. t:uii«i>lrrii>i; ilio •irruui- 

■lanni III Itii- ta'K ■oriia of u\iwriiiii-til*, ll<i ciill*wi>i>[|ilriirr< t>an tio •■X|<«<'l«i. In 

Bbn prrarnl xpTtun IIh> ri'll* ^ro >|i>( llvlnjC In ii tiiilrlriil Milnltvii, bnt in ii iiiiinial nml- 

nnltlriil Milnllun, wliu'li malili-, In ill pt-'lHiliilily. to carry alfbrililt'*'*)"" iIm wnalo 

iHiitt<rti< oriltH twII'k nn-liilH'llHin. Uoii'iuini-ntly tli<> nnnlini* alirinka iiuirT< rupUII.V 

kill abn more ■■■MitinitiHiHl> tv » I'Midition iif luitiplrtn failfriic. Ah more flilly tlJH- 

^tiaaeil in u |>i«vii>iii> |>apnr, tliric am roawxiH for bitliAvlnj^ lliat lella in prmooi'ii uf 

BUtiiMirut i-iMTy oil tlie (iruiMMU'a of aniilioliMu unil kaiabulimu iit tbr Hanie tlni*. 

Vu'i-t IIh> c«ti<ltll«na of mir ptiMrul cipnlinfTiita, niulioliniu In ini|KaHiil>l*-, wjiiln 

kataliulliBi U, imwihijr, iniini|>i'(l«l oi antnlDratnl. Notr tin' ■liiflit alirlnkaitn wlikli 

^HBrrun la ■ faur nf tlir coiitnil |tnni;ha- 

^^1 8lirlnkaK<' lui>iirl(ii<>rtiunt(»l ri<Ikt|irubnIt1yMinirrFi|tonall^bli)vgTn)lnatloxpi-r- 
^^^bDBta ■rbirC' •liiipln twlinoi •'lili-riilci siil>itliKi w»a uimI. It iK'Vitr manheil id* 
^^bnlal at wklrli Itir niirlvnn licuaa t» ahuw in<lvntatioii!<. In ltln|l(ir''t «»lt}lioii, uf fo 
^^Kslt ■Dliiliixi wiluratocl tviUi it.-iliiliiin |>Ii'm|>N»1l>, an vbiiiiK'' in thin rmpurl I'oiilil be 

^^tvlii'lnl. •i«ii for loiii; pBrii»t«. Ttii* hi; ■ in tlir miiin witli m-Mit work b<r 

l^«'k<'* ii|Miii llio in Mill! 1 1 CI- uf Bu-ralli-il ■■noitiiul " >i>itiilli>ii* on tlid Ibiin »r (inrvc oT 
uinavlr conitai'llon. ■*!! aiilutlon tiinkln|[ Ilii' I'ltrvr' lil|[lirT lliun noiniiil. A ollabt 
HIi>' I Ivuilinii toiTiint llml iiuhIiikhI liy •tliiiiilatiim !■ no imirr tliau wanbixibl n\]H<i:t 
III ti jiiofniiiuK tP>nKtl'>4i ri'lla frmi blwil t» liny Tininiul luitiillvn. In irxpfritiipiil 9 
Ibn nHilrol nnrlni* lukra o pi>ru11af ronna. It Im Mi-n to swiill Hlljttitly fuf tbe lirat 
two liuar*. ttipu i-uiii^ Ikavk tu normal niitl i-iMilinnMttuabrlnk, nntil in ««vmi hotita ■( 
h^M liMt Ifiwr nitnt tif its orlKiital bulk. I bare, iw y«l, no aile>|uata L-x|iliii>atioi> for 
tkl* raM. Il Mamh aliMip, Ml far M Uiy uliMirialiiiiiH ko. t'|>on illlnllH); » titimial 
wiluilon oiib diatllleil watat. I bave olui>rrnl KiiHiUt ■wdllugof nnvlei. TbU fuel, 
honavar, lhr»w* little llitbt in tbn ptoaitut imluuiHi. 



• lim-ka. IIU Wblua« A-r 11i^l<4^lvlH>a Ka^MUll^kuns mmt filiaCM tioin* Uiuktla, fnapt^ 
AnUVh B* UT, ». MI-CM. IkM. 1«N. 



12fi2 



PAN-AMLRICAN UEDICAL CONGRESS. 



Kx|>eTtiaunW I lo£l w<>ii> all miuh' with ()■•> *fn|!li> )iiirtii>mi <if irlim-rvlliic ithmiEW^H 
nlil«li might i>c<iir iit i;niivl<'>" f^Ha <l>iHii;t ittiiiiiitNtlciii. Ilttt ft'w Id IhU itr(iii|^H 
rc*|uire TuIIm flUlviurtil Itinii ioulriiMlj givrii i» llic uMt. ^H 

lu ivvpcriiiimil 3 tlin vnlU irorti k<'|>t iiiiilor ulrncrrnllim, at inLrriMli', Inr xix ■li>)<i^H 
Cntnirii drmw-ins" wi^n iiuiln, at U>*it imik ii itiiy, ilnriii;: tli«< vtIioI(> tliiitf. M(aciiiih^| 
imiile u'vrfi tsbuD to Iwuiti wiili, ikml lit lh<' i-titl uf llitn: buim. An llif iiilmit o^H 
fudiura nils iiiovKi], ll 1» mit |Mihti)ilii t>i r<iai|iiit« vi>liiini'i> acriiiulnl)' iK-yuutl llit({^H 
lime. MunBurvaieiibiwMiiiwiiilti-d uiuliM I l)u I lii |>rnt«li»li IImI <TMucTailrawlb|[il wolll^^^ 
KCrvr iuaU-uil. TbU iu«tHBiIiili'H a l>ti«f ilmcriptioii by vi^y uf Hiip|>lriiuiiitisg lli^^H 
tiil*li'. Tli>' uvpi-tliiiMil Wiu> bi'cuuitl iiuiNi, DuoL-utbur T.aDililuriiiR ttii'lirstdvubmirt^H 
tlio iiiirtri doi^rtiaHiHl in iii/<' anil I'praiiia ir[«siiliir tu oiatliDu. tty tlu- twxt iiioniiog^H 
Uur iiiii<l<il luil Miuiixi'tiiit ri-KiiiiiL-il Iti^ii Tniimli-it <iiitlini>, tbunsti tumuiniiii; Miiall, wrf^H 
till' ii|>jiiKtt3iiir(if biilli |ir<>ti>|>ln*iii kihI nm-Ini nhtiuril lltllo or no ct>tili|if> (ii>f ond Ut^^m 
tvtMctioK i>r liiiT iKDliijiliuni I'loiii i-HiiHiili' Ki rluH>ly <tiivt<Iop4t tlui iiiictoi. l>iirin|^H 
Iht riiat-lti iln.v ;:nii<il(i* in tiii>l<i|itiwiii unci tiiu'Ini iipiHunil la )><> in viiilnnl i'i>niiiKK^| 
t»oo. My uutw fur Ihta <lay riHiUlii Ibii itoriU, "(itIIs allvr willt liiicU>rii>." Al^H 
iiiCTii^tnliun nf »ull li»'l rmiiiuil arouDit t^l^i^ »f •'■■vcr »ti)>, In |tl>tri<K In w»klilii^^H 
Ihii ufl' vrilli ilt"tilli-il w.iti^i, ll liMln niii iiu<let tLu Ottvcr nit]), ikuil lltu unrtM On'^^l 
nbnetviHl to nwnll. II waa t^xjii-i'loil IbitL lb" " lui'ti-iia" miiiM ksivf lidlc of ""^H 
ooIIk tn bi- KDoii iii-xtiUy' itiitlixt'Diilraty, by lliiMtUKDiiiitvf llii> llfibiUy.itll inaVa|^H 
liMinl of jcratiiiliTa b.i<l >>iilMhUHli>iMl tiiirlvl mimI |iTi>lnplwiiii hml rrsiilni-i), toull ii|>|>««r'^| 
•BVM. tluilr I'ortiiui mtnlktliMi. U|><>n tlic ii>i>rnlttic ol tho diilb ilny, liowvtt-r, ili*^ 
UiirU'iill af lw»<>< Uifi cclk bail vntin'ly <liaii|>|)«aml. iiii<l lli« i>iitllii« of iIm iiiirlui 
jnlluwoolla coiibl •rarrvlj- be ilintiiiKiiitlial, to Ibe tbini iril tli« auvlea* wM^J 
vioiblc, tbuiifjli fuiiiily, aixl i-oiituiuvil ii sihrII H|>i-rk nf »till lil^-lily rcl'isctivo nitoto^H 
tiliL-i i«iilt<-r. Oil lA|<i>liijt ttie viivi't slip tijclilly tu <UHloilttc n iiuMHiidUbria nbiuh^ 
liail lliialoil out mi ■■ (■> oUiciirv iiixiii' «f Ibu (<olla, titnj *U dew to plcrc« itml tba 

«X|><-ftllM<Ut ITIIlt At BU villi. 

Kv|M-(liiH<iil I «Imi tiMarvm it wtint of DXpluintliMi. An nltinnpt «m> mmIv In tlila 
r«BK iiiiiltliiin, liy kIkiwIou lliv Miiiiniliuy «nll tii I1, Ui« KTootr*' I>>»«i'ili' <i|li'>l In 
IliK aliorliwl liiiM-. Coiitfaiy l<> i)i|>w'tiitii>ii. biiwr<vfr, iio <ilu»iti' i-miM )>« ul>u'f vcd 
«l l)r*l. Vi4)r litllo oiviirtCil iliirinK llin liret tlin^i' louii*. iiiiil llir ii'irli'i ntiiaiitnl 
run 11(1 mill uli>ui ilutia;; iioarly twcnly-oiiu lionraol' I his cxtiKOK'HIiuiiiliiliiiti, Thiui< 
iu<ir«(<x|KHiuviils. aol Kivro |iIaiw in llt«iiibl<<, wru- itiol witb coil in ktine puaitiiia 
•oil wilb ibo aiimv nwilt. Mutilu |iri>li>fo> witrx ni-xlinbiiiiitnl to llio hujiik ntiiiiiiU- 
tlua. PurBOii'i'la nitre fntiuil t» hv kllli'il attnont Inalnntl)-. At kiiat lliiy nlKiwod 
tWiitiKi>* ■triiuiiKioeiit;ifU>ra I'cvi, Ivvi tliaii liU(«ii, MvatKU' irxjKMurd (<> tJia curmiil, 
■All «l>iH)illl) <Iltiiiite;;r)t«il. Lar^ vorlioutliu irvro able luundnni mure; bntiiflM' 
t«i> ni tliii'v rX|<aa<ii«aiit liflmii aoMails Miuti. tbey iuviitiably au<:eiiinbnil, A nnMi- 
bnr at feiluittU lufltM wi.rf luadu vrilb i;Ta>lDiilly dvcd.'Uiiig alreiislbi at <iiim'Dl, ani] 
it wa^ fi>iiu<l tli4t irttli Ibn HvuiiilHry mil ut lU, piitniiMiria, nltlMiOKb <H>i>iii>luni1i]| 
Klartlnl, 'liil ii-it ai'ii-Tir l» Im injiirwl. No t<-latioii ii<H>oMuril]r uxtntit li«lwc 
■tii-tiKtIi of iiiiripnt in|nr[iFiiii to |ii(riiiii4H:lB aud li> fi»K'H Rpliial KiMij:hi>ii <^vll«| 
llunpvM, 10 cviiIlin"tv(H van ilmildnl npimi •.la ttip limit id' ttlliilllBliali fiit lMnniniU| 
(•X|>rtlli>ii|)IR. 

Ki|H<rl>iv-itls I!l anil 13 ar« uncaiiialutiH. In {iMlLvlly cliwr naidttiunitml (piiiKltna 
■vIIh di> iiurluiu or nnirl'oliii ii to lie bmii). TIlia irt nut |M>iiiilLar li> llti> Jiiiio rxf 
ilMiiin. fill cvf^i diiTiTi;: tli« wiiiirr wtMiil vaKtH of tlio kind MU'iinvil. Tliny w< 
at llir tinio. dlBi'fliilud witli Ibo iiolc " c«|]h iiut elrui. tiu niirici liiitiln." TIm I 
iniitiiiKvv, II! and M. iiiit (oi> proniiuimd In Iinivk niitti'ontrd. Tbny I'liron U|I0B i 
fmiujiariKini wllli Itio 3|ipnrrotly Hlnillur dl>ii|>|>n*(iiai^i> of tli<> jgi'milnal voMli'In in 
tlipoviiiiial iiuliiraliini. Tli" fiti*! Ibnl on *liiiiiilalion traoi'Hof uni-li>i but nonei 
UUrUnU Ixn-BMii' visiblu, » aim of «i;,'Uili(«ai'e. Hut wbnl«vvr tliia may ba, fal 
praacllta OMtlor (or i-xiwrtnii'iit ratli»r Ibuii dim'SMiiMi. ln>>iibmH|Denl (>x|iorllM'nt 
tl lii:n. Miadi' ii|<on yi>iinc rr<>*.^i It. Iriiii-iifiiHii, wlilrb liml Jtiiit jh-kutMl tbo tadjiolv 
fU'gv, lult iMtblDt; tu be doaliwl lu i>uy i^l t-lu.itvuM vf uiickJ. 



'ollafl 
niuJI 

w«raH 
• nr^l 

»in 

:m 











FiO- 4.— Caiiiets ontlinep ot wU. nucleiw and uucleolus In eip^riineal ^ (ZeiiH, oc, 0, obj. 
t-inin,. x^Ch^i Tipie |M irivea In houra ftml mlauU"*. 



I 





o 



Q 



. 3.— Cunen outllnee ot chuign IQ nucleolus <D eiperlment M during ^ minuua 
Mlm^flob in 04 of potaailuin tartrate added to uonnol Bolutlon. a — coccurrwl 
In 4 tainulm. Zeias obj. 4.0, oc. 0. X S!i. 



PAN-AMERICAN MEDICAL CONORKSS. 



1263 



A hir itirUirn «f un rsciii-riTiifiil- ouii lianlly ba giwtat Im a Ubln or tty onmia. It 
miiiirivB HiriiWflf |iUtM ilniwn TrDiii Iboliviiie ^tiecitiirii. Tfainlioa uot bmtit il-xm, 
brrAQnr t ito iii>l f-'fl (Ilut lii>' alilily ol' poll KC'O'i'ntiiXi ntid IIh cliaiii;'"* 'torliiK 
l*tlf!n<> la •! all minpU'ti-. Iti'ni'P, (nt llii> {iriMbr'til, lliti r<>Il'>nlii;: iilllliniT (trnwlojct, 
rv|tnnlii<u>il rmiti raiiinra (iiillliit^ ni;iili< il<iHi>if lhr> n?(|inrl infill I. tiuir HiitlW, I'lj*. I 
tKjirtnFiilii i^i|'citiDHii( '£i, ' (O ' Iwlii^ Mlci'«v<iv<> (littvrliiKK iti tlio «liliiallil>Hl <-pTI. 

r<i tir^in irilh, yc \nt\i> a tiriiiral H[iiii>1 giiii^iioii •'•>ll, tvidi uiicloiiii flitnuli'il 
ocrnnlrically. Tbit ii>irl<«iH in <j|<«r. iliKbllyoval iuahii]K% Imt witU twcri'i'tly wvcti 
DitnliiuT. UH ■■■»■ III »|iii'-iil Hvitiin. Aflnr tlijrtjr iBiDiilen'iitlmiilitiuii, '-. Hjc. I, ibn 
•lilp tuwnii) r<tii|iv "f coll Ikm chnutind, tli« nnltiDo heri: buvitijc liRcimiafnlnt sui) 
iDiiriitiil. Ill *. tkii DtJMtr HJ'lo li:>* bi'Kiiii ti> gi>v« hi, itiid mi iui Io % m Ihtt' wo am' a 
khnnkf^, jusieimI iiiirli>iia '', lUuriptiiiH) oIm. U biu irnuiv tu llu > IlKlo olomTr to tlwi 

M^l«, nii4 llie ci'll ifcarooly •IprroiiHOtl In »lxi> to .t luiiaaiirulile anumnt. To 
IBm nar(> ioUi ili^lail irimM b(> to reixiail n former il(-wfi)iliiia. Tlio i>]ipntl- 
Me, in fhriL, rviiuliljun i>f roriiicr wnrk nudor wiodilioui viiriml an tliut w« h« 
onstlaUntiiily and in h hitij;)* »ik|1 vrlial wu wvr» alilo ti> finij in a Jiiinoi «f ililtnramt 
ulBikla mill iiMintlin nf ^tpiriiiK'iiiiitioii iM-fnns. I'Uccd iu imuiii' m iil. llin niti<)«>i 
TvMin tlila ati|>i'iii4iiri'. wliloli fiti't i'iiaii>I"E>-* tlie cniiiin-'tloii widi loitinT nnrk ilonu 
ti) l)i<> immlr iM'iil tiu-lliixl. it ithiiiil-l tii> aiiil'il, IiuviiTKr, that ilm rliarAi-tfrlHlio 
datlii'iiiiiu; ol llt<> iiii-'IviM lie tl xtiritili^ iIihw iiol iicnir in lltntn t>x|»'rlnKiit». 

('iiii>ii1ciB>i|« lit If' mi Ml vi-.ui ilirvrli'il luwnrd flliiiiyiDi* oliaiigii^ in llic (■niniilntioii 
uf |>i»lu|>laKin ■liiiinti Mi inn lit I ton. S<>aic ■>■' tlio ii'llii Iwi'iiine iii;bi'<r nnil liliuiriT, 
wlillv III <>llii.-iii till* U'UH not Hi> nuinllirat. In ioi|ii.-rin><int 3 tlit< ei-W nnilri iiIim-itii- 
liiiu I'otiluliml •ovriul jii'ifniucnl ••it ilrnfildt*. Idirliij: llio Tint tvtv lionni Oixi i>f 
lh*iH' ttiiH (iliwTvol to Itptwtiii' Ktiiallvr anit uniiiltrT. miiA nl JMt it iliiM|>|K-iirRl. Two 
UMire, nlMcrvoil at llftt to In Mtpatat«, wct« wvii li> Iihvp nxiriiil toji^ltnr aiwl cnii- 
hn-Ri). 'ri<M«>l ill gl.vririiii. nllor Irdalnienl iritJi Miiuiv aolil, Ibu i<f II |iii>tuiiluiiiii ia 
II 1(1 Ih jwrvndeil with larp.-, itrefjniar, lifjlil Miia^m, iirulHibl) Ibo viuiiKiliw 
irvnl in ■■•■:tii>n«. Tli<- i^nliro kpD \», liawever, tni> Itiicl fnr >iicli attiily- it wm 
butiniHililn dImi to ittitri-i iniliraliniis af ynciioliitlikn lu ilio Iivini; loll. l>nriDic(Ii<i 
wlU'li' tint* iiiii'leoli w<-ii< nlvn iui)i|<-i-lml In rliitnil nriiitiiiy, In 111" 1|U|>« of orriiJK pat~ 
•Ibly tJMi iiK'KiBiuitta <l>'HrHt>ci.l liy SritTicffWitkt.' »n<l ft Kaluliii; tnlnn l>f;l>t ii» (■■ 
Um< fiii)i'tti-ii nl' lliiB utfftii iiiitniilit nl' iltirtly TF)>tu<t(it>livi> piixiwinv WItilr in n<ir 

nuU Ball *al>ili<>n "t Riiii{<ir'ii ■nlnliciM n<i iuxvi'oimiI of any surt, ur only nliglii 
«liaiisn' uf Mbn|<e ninl |inailii>n, mii'li >■ an- ln<lkiiti-'1 in Htf. 4. miuIiI Im ubwrti-il, 
riliT Willi m kiihIiijiI tln-rrnMi In •!», ('unuirtiHl tillli llii* lnlt'T it ntui |h*u1I>I<i 
nialiii (Mil KnniiW in lie iiui'looiiw, wlilrli niiivoil i.lii»ty nlHuit, nint In ■nvrntl 
bHldiitv* wcip Hvti t(i 1hi v^tfll<ll>ll iiito tlio nui-IpTi*. ConllifiiiitiiMi iir IImi aboTO wwi 
ImturUlaUly minkIii In aviitloiw nf «|t)nal gnii^lia almuly In my txitMUMtlnn, uitil waa 
(wiinil ill ialiiin>la(ii'>* in iwiuto imiil HponiiiPiiH ittaiiM'd in nafranln. 'I'ho i*rnii<>l<-i« bi*r<i 
wotii ■laliiwl II tiri|;lil«r rr«l llian ttiu iMHiy (if Ui* hiiuU-uIiul, anil mv«diI vmtti foiiiMl 
tniilially cilritilml. Iu IfaU conuHilinti I lun.v brti>Ily l«r«r to rxjiMiMKUta 31 t't.'GI, 
allliiinBli Ibny lwili>D]f tiropxrly lo a iiiil>iiH|iirtit (upi'r, rutuMliiuiliiitruIn waui I [nir 
ci^l) ndilnl tu mhIIiiih rlilnrljc sml unliliini j>h<M|>hnlit^nliili«ti, wllh a vinw <>( ntv- 
lilff ibo itIIh n Ifarn iif t>iit4iiu<inni uiiil ni'irr ■•xyiifn In r:ix> lliiirp ttns mil oiiuilfili 
«ri<*>llj)i9 in lbi> plain ll'iuiil. Til'' MXncwIint iiii>'X|iei'l4sl nviilt amy Iil' m-eti util- 
Itiid It) tig. fV. Tbv ililli'idit xlimFn titt>mvtilril i|i lunalt tyfir} 1-1 wi'rf Hi-lnally 
ulMi-ri<-il und rniiirm tindiiiio iniiilr in Inriitj-twu inlnut''*. Tlir ni<i\piiMiht iif |Im> 
niK k-olda In Ifai* riiM- lind rvi-iy ajipi'iiitiU'c of Ix'lnjc ninii-liulil, T1ii< nnrlmlna of 
Ihv r"ntr<>1 ivll rbnnunl itliiiiii! >.oii>«nlial. Iiiit n'Ukiml ll« xlfx, wltomut Ibo fr*l[- 
iiMtOlanr lhi> alimiilalnl Diirli!'>ltiH Ii.til nil •IimiiItviI in thirty inlnnUw. KxiuviiiMtnia 
Xi uhI XI icnVf fKBi'ilr alBiilu rmiillA, i<xi<>ipt tbul <>"< •■>i>lrii1 n>i''l'«>ll wi'rr nni 
mImhtinmI ht Miii*«. 



■ l*ilnii<«i*ak) 7.nt I'kiiM-;!- iti- K*ti»i>i>il Kc*Bliur|H(rliraa ilrr SpiWHwIhniltw Nyn>|nlMI 
tea* lAMnMu) t. d. il<4 » i»i... t.., lU-^lii. law |.. ui. 



1264 



PAN-AMERICAN MEDirAL CO!tORE»8. 



A iittnilwrof Ui«lirl4>rtTexperiiii«iil« WMuuinilf <Tilblli«HpniTlft]|iartMiMof (Mtiugl 
ii|Min rn>j^(«rtaia twiulbi wliich Vila* tiiti> r«co>itl,v n-iurle'l frum I'XiirriiDi'ntB U|>ua( 
till* sympulhctk kdhkIiuii • ■■11k nt rlio rulitiit. Atnon;; rtiMH> rmilu Vim •InuoriliM i»\ 
•«i>tlll>g of lb'; Hill iui<l Hi|ii-i-iiilly »l ll>r tmi-li-'i* ■i[>nti ■.■oiiltiiiiotio •tliniiUlluU fiiT 
linrni inliKitrii. ili« olix'triMlni Iwltic ii|>>i|lw<l (<> tli« mvlnt itvit]|i:ilU'(l<- S rwntiui«> 
ten lieluw iliH ■ti|«-ii(>r i-rtrii ->) sannUnit. Tli>' iiiirlei .it iliw Mils Si>i'aiii«' nwolltui 
Mid dinar. exsii(Iy ltii> r«vrnH> iif my rmnlU fur H]>iiiiil K>'i-li"ti r<'lli* >>fl<'i' • Ioiiki'F 
[wrioil of iiilurmiltcul ■liBniIiiliun. Il in >if iati-nut to iiot* tlial (lii» •Immi-trl'^iilly fl 
<i|ipiMcil ri<*iill U oMikinnl l>y olliiiiilitliu); Ihn uorr« In llto rvvcr^ illrFcliim bi Itiiit^^ 
ot llie niif itinl iumiiuc iif tti« ihfttihih linpiil*''. Koiim in tlHW OKiwi-lmouto Hlimit- 
btiou WHS ■|>|>Im'>I Iu tlii> itonal runt lM>two«ti rviril anil Kitiiitlbu. 

I)f UiP MVfii «x|>rr1mi-ntH iiii'lcr IIiih bpiid, I itbiiwHl no tlinneo ■■) ^i^^ nppnarMico 
■if iiii<'lriiii; 2, Hli^flir rliati^i-. 7 to I;! pi-r <N<iit; I. iiurknl rbnticis of about SOporiwnl. 
All rbiiiii-ti >iliai-rvitil U'lM lowiirrl «liriliki>'4«. with no IuihIi'Di')- Ii> awe II. Itnliaiilil ' 
lac iiilili^il. iKiunrrr. tbiil tfar [tlvai'iit oirlliriil iill'iiriU ni>[Ml'-i|iint<r trntiif Vm'< niMllla,,] 
iiiniH' (If illiiiiilatloii Ibn m^rnu' wi) lnixU (•■ )iiiHliiPr awfillini;. ami If IliU li8 mi»>1 
Ixilh- in vhuriM-liTT) ni> niiulmlixai nnulil l>» )>«>Hlt>k> In a noii-iiiitriiTiit iiiitiiriiMi- lal 
llin Iw" ■•%ptiriiiiiTiitH witli iili'jiil ■ihiiiij'i* t|ic '■iiiicllii wHrc iwtar tliiM>li.'i.>lruil«B; in tbej 
uun witli nintknl i'IIfoI iI iiltii<i*t l*>iii-li«l Ktit- ptroliiMle, to tbul lliv i-]inii|^pn]iliirr<A] 
WMM lit :>ll {irutiiitiillty (liir> tii iiTraitUtioii nf ttininU*. 

Ill UiP |>tFM'lit iutIpo 111* iiltriii|>t liiu born iniiila [■• >1« lUDfn tfann l4ut iimlvr luiw I 
ooDiliti'Min tlM> v^illiUly »r pritvl'oih work. A ninllixd hn* Inwii >liivi*i>il ti) wliirli «] 
mimb Fikiiiir iiiiil iiiun- miufil'ili- ami Hiili«liMti>ry ili-Rii>iiatTiiII«ti of fuiigiic ohiiiiura iitj 
l[kiit{liai> l'cUh niuv bv miule. Fotuivr work bim funtiil foutiriit>li»ii, witli tl>n a<I<li< 
ItoDiil nwiilt tbut lli<^ «Bvel ]tri>i1(ic«il by lioiirs i>f Himulntiuii ufii iicivf> in cb« body | 
may hn olitiilnni in u fow tniiiiit«i by mntiviuK tbu «ell» Ut h iiau-uiilri«Dt aalutlon j 
anil |i1aRli>it tlfin brliriHin tbc «l«rt>iiclea. 

la crjDi'IiiiltiiK 1 i(>'>y rill iiiti^itli'ii lo lb" frw-r tlial with ttin ntmv* nttbod w« k»x 
N moans of Klml.viHtf llii> ai-Ilmi "f any nWiili'iil aiili*l«n'«, Ri<-i|li'nl nriiulriral, nil 
lbi> Tirrrc nil il-Milf, Wltb nioilifinidinix fur Iviaperatiiie, it mar anrvr ^citiitllr la^lt 
fur aiuiuntaliaii li«ar. Il in inteiiikil to nuke tbmo tbu iioxl \iUi{>ti in ibo muik. 



DIMH'tWION. 

Dr.MACiLLOI.— lit. HiiilKi'VnbwrvntiinianrBi'itTviiii^tyiutf'ietiiiiiK'iixt liialrnrltvB. 
Il wonltl bp iaUirmtiiiK iiImi Ii> lU-Unnlni' (Jir ini>-ti>'rb<iuik-ul cbsiii^ Ili*t onuor lu^^ 
tlin nrTTa<«|]K. l.rbriK'bl Mid llnDti have oImihu tbut lli« cyt4>|iliuini of the nOTVl^H 
otill cuntiiiu.'i iiMim iition|ihi>rua lltun the nilrleiis uf U)i' anine, Knd if ito oooM |»ralli>l^^ 
111. llodsi'i'a nlniTvaliou by ^tMiTvattonii viilh tlii invtboil iiwd by tlioM obMrvera 
Wfi inlKllt train n lull biilor) uf Ihn rbtini;i'a uf ilie nnrvi- roll nnd^i atiEnnlutiMi. Ilr^ 
IliiilgoV iilttrrvatlonn on the ainirlxiul piiipvllliw of tlir nnrli'oliia iilidor tbo InHB 
ni«« at jioliiHni'- tiirtmlr ui>lnli»ti« »lio<< thai tbra*' iHMlim iMiblbtt nu<l<>r I'aitali 
f«uiliti»nii |>Tii|ii-i:l)i.>a wbirh ntr out naiiiilly iiUiibiitcil lu ihi'io, Tli« spoaker hlni* 
■olfnb-MTVvil In ibi> i;laiiil ifll* of yniiuj; iiniphibia tliw aiu<i'l>oiil ninvHuent uf tba 
iinii|c<itii<,iiii(t n"jar>U thixuaiinoniitil |>ti>|»ity. [Illlarlili romicllhiititiviiaof a iula-1 
liirr of Bull, iibl olii'i- oil iinil albiiniin iiiliilijli-il am<i-boi<l pr<i}ii'rll»,aiHl 11 i« tiol] 
•Mrpriniiif! Ibul otirb ii hoily la rli>- nn>*tri>lnii.*'i iiIi<M<ly i-nnn<vl«il nnJ mMuclat 
with ihn vital proin'iIiMiif Iboi'll. «1iaiiMt>Khlbitni'>vrRii-fit. It taiui>mr«aMnftbli 
to l>(ili<tvi> tilts Ihau tobrliuTi' Ibul tivraniea u n i' loot na. lib" bnrfycxhihllaniovonienl 
M 11 iln«t in Dwrtuiii caa>:«r ovIU, that il i» ilii<r«f>ifv a jiunviitie orjpiiiiani, a conola* 
atoti wIiIpIi auinn pat hnloi: lata bav« ndnplnd. Aa lo tbt> i|ii«tti<ni wbHbur pixibitnt 
Inillnatn* ilcony i>t ai'tlvity, Dt, Uacitlliini tbonuht (but bnth viewa •!« partly trn«,j 

*T*a.Pi<nl. Nl<i>lvn<>t>»nl<'Dmu>TtaUlir««alln>lad<f8y»|iMbi>UH'lu-nllaaitllMiMtht. AnUf 
I. Ukk. Aaat- Ikl- W ».. Ki. IttJt. 



PAN-AHEUU-AN Mt:i>H;AL COSftBESS. 



12G5 



It is rliniiicAlljr wvlnulii, an iioiiJialtlin^ il^rivnMvv iif clinmaiitiii, likv liiriuo- 
jiiiliiii iiiidB'BliiiniiaUD.iisAhuwti Itillx-iiurk'ulaii, ilitniii'i-an iii<>Uii};ciiuilftiillvlt>', 
: la tiul ii«4iini1 lo ouai-lnde tbiil tlif iiliiiii>liMiiii> ft iHrliiiiiii in nii Itiilk.itlim uf !>>■•( 
lUitt) on Ibtr "iiu bfttiil mill ini |Im< iilttitr of how Air ()ic coll hn^ t>Ti>):iv->t«inl tovrunt 
»y. Tli<<iiiiiil«u)l»n> mu-ivn ulir^'iiuillii. wLilvh, lti)i>iiii)t aii<l n^tiiic erIlB, Id iiMt« 
Imuilant tliuii In IIi<xm' i>r irt't h(:v. I'lii" (att i>x|ituli»' tliv illvi|>|>i-nr;iii<:e »r iImi 
Mii'l*iill tl> llif iii<rv<> rvIU nf »I'I ••)[''' Wltll llii> •liliiiililliciii tif Itii^ ihiuniiiliB tbiTM 
liMl lilt u •lliiiiiiiiliiiii ill ill'' iiuml'iir <>r ■'■>ll« lii'Miii^ ll. nti<1 llivrelviv ll>. HikIsk'b 
rviiti-iin I'll llii- |;r -I ilimitiiilimi «f Itii- liitmliutul nucleoli urn) Dftllo iief itirrlla 
llii'fii-iilvcn in ill at'i'ioliiiii !• with Ibii9iii>;ilii-(~'a uliiicniilii>it<>ii iitlini' I'l-lls. Or. IIihIkv 
u* >liiiu> ut«tk wliuM viiImu ifl unilciMhiiKliiif; ucrtuiu (MjuljDlwgivul pliuuoiiHTUji la 






UN Tilt; Rtl^fntATtiKY DKNTEK rN 1'IIE MEDULLA OBI^NGATA. 

Mjr J. HAD. 
r imintHtr at iiiiih-Iiw iitliliii; part In ovnry iivniul int|>lrali(m In vrr.v larptf 

■Krf IhnTi noiilil Ki'iirrill)r ho >>iipl>i>«(Ml. It U an iiM mill iti]rr<rtiiii:iti>l> itide- 

fil i<li-» Itinl tbii ■ti»|>Iirn;'iii ulniM in niiRliiriil fur llic luiTjiii^ utit of » tininiiil 
ltit|iltniiiui. li kk, iDiU'Til. jiuHiiblB by Euiliilitr »^'liuu1 of tlic <|iiiiiil conl la ivdiii* 

ail uiilmiil 111 llir t> ^iiy of vrntiliitiiiR ilii.' ltiii;;« by uiisiiii uf Ibe itii>|>br>iK"i ntoiiv 

•ml ilinilc^riT of ii'iiiiliiliiin in incliaiiiuiiiiinl witllfn r>iiiivl. »t Ipnst.ai ilnii, tuilii* 
\m IikIdw tint tinniiul. If, lionDTnr, Ibn mofi>iiM<iilii«r tlii tbniiix lii'«li>«iri!il, It will 
Iw vrn I bat ll iiuir iivlllu'r wliloiia, aa in Ibfi lbi>liu'lr< lyjiftol rrapiTatinii. norri^iiinliiM 
til onnlli-iiH) illiuiii-tiT. ■» IB tbi- io>ralt»l (lla|>bliiK'"<>tli- ifl'U. Ini> llut tli« ("vrr 
■ni> lateral n-ubxia nrii ilrttwii «liar)i)y liiwnnl. Am) wlicu tbo i'Xi>i»it«l <lin|>brii|;iH 
la vBlrlM-il, II tSMpii til ilruirnil iitiirli farlbvT, 1- <>., Iiiwuik tiiiirb liariliTIIiko borutn. 
Tbi'iliBiiliOiini nH|iii(i<a tlirrcfiMv, evru viilb Ibo iiiiivarmilly jHiivty ili.-it>hi'ii|;iiiutio 
liri-Nlblui; I'f Ibf nbbil, Ibc <-i>iitiiiiial uuixtnni'a- nl Itie tbimirii- iiiiiiii'liw, siiiiii)i«. 

■maly iilliiiiiUlnl nllti • ■'iT'ui'uiidiiix iiiIeiiMtty> Jl' U woulil UDt be «u(1i»iu14hI bjT 

riiailvr mill IIIIMiIIjIiIi- rXTrll-'li*. 

W»i ai""- fiiMii IM" •'iLiiii|i|* rrry rl«irly Ibo iirril fur Ibn innin-r i'ix*i|i|iii>illiiii "f a 
(•rmil tiiiMilH'r III ri>-)< Ira lory niDM'Int, nbiiM iiinliir imia aru ilUtitbiilvit tin'r u j-'i-'it 
|-ari iif till' (iiiiiiil iMiot I'liiiii tbii fuurlli i-iirvU'ul to (bo twi-Utlt iloraul ■i<;;iiiri)t. Tbn 

enmiHniy ntiiiilivr uf fiiiirtiinijl coiiiliiiiaiiiiiii a( i<yi|iiniti<iy iiiiiBtliw im, huwevor, far 
ktwilT, »■ UxbiiHii by olmirvnLiixiB wbiokciiiiiiiii Imi ciilurnl inhi bcre. (In ibriii In 
■omkI ibx iti'w tbiil. u iHimial ir<i|ili.itlMii rati inily Ukii |>lai'i> wbcti iIm> iiilriinily (if 
•ItinulaUiiii iif nndi rii«|>ltiiliity iiiiiitrtii li brnUKbt into )ir«t'<*r irtallou villb Ibu 
wlbitn. Tbii Itiiiiixliiiti- iiiiiri vnlliifi ari'na of llitwii tiii»Hiln» nwcb from lhi> liilrlrlla 
■r Uv> uvniM fun'ill* In llio i»nliillu oliUint^ala ili>wti tu tlio laaibiir |i)«xiia. Tbu 
•liii|i|v>1 •/!»)! <tt grUiuf: tnth a coiinli nation in aoeu in tli«rat«urthi> liiiiBclmiif tbi> 
«>■. llm iiaTTc cut)* wfalcb «ii|i)il7 ibu iiiiiii'lii librrx o( lite tcclu4 inlvniiin iiiv 
luiiiiil I'Bitly In tlia oiicl«iLaiirilii'*iniilu-iiKifiriiiitiiii<l (intlly in tin* aMiiwiii niiiil«iia 

ii( |Ih> ii|itiimltB «i(lr, ai> lliat ill Ihu Uift Idhiriiili ai'ta li>i;i-llii'r nitti tbr rlubl, iia 

1114 lb" (i-iliil uf n-K^iil climiir, n iliiTrii'ut iimtluii ul Ita iiiiiai'lit (Ibora lira 

un wlini 11 acta willi Dip ri|!bt aUliici'll*, us III Klaiirlli)C lu Ihn I>i;bt. 

> «iiiiiiil<i» wblcti iviU'liM Ibo rlj^ht ii)iil<ic<'U<i iiiirtHiiH IliiiU bcro iiMitiir iterve 

a mil only nf llm rli;bl aliilili-cn», bill ii]-iui>r 1Im< up|-iHiili< iltic flint, anil crury tinio 

I alidnrcnx la nfliiinbili'il tbi> U^d iiilnruit* U uIki Kliiiiiiliil«t iii ciirrmiiolltl- 

In Ibln f>iiun|>le tlio <ui'>r>liriBll(iii of t«v itiiiu-liw in •pci>iii|>ll>ibnil by 

i|[»ltii>r n |iiirt of i)ii>lr tiiotnr ni'rv*n>lla. ThU wilt nut H-n'!! In Umkami 

ilralnty inniclm, urltbrr ibo Insplnilory Wit lb" nxptnitncy, (i»r wo hsv* 

lliat Ihclr iiKilnr nitrve colla mo dlatrlbuUHl IblWii^li a, liMig MTiM uf ftagiiMiiiht. 

a. Kx. 'M 6» 



12fiG 



PAK-AUERICAX MEDICAL COSfiRESS. 



If w» lAko for itrantoil tliat ■iniilnrpii'Ii are rraclicd in xfmilnr iraja, we iMiy !im»» 
niio toMin* nctvnnlagnoar hiionrW^o of tb« «n5r(li nation tnccli:iiiiiiBi of ae«r(iiln. 
icroup of movcinciiU lii tbn f^o^. A very tniporlanl i-oOrdinnted moveinent In the 
i^S iH ths takiiijC! of ilio apring poiltlon, for onl; Iram tliiii poiition cud be nuke tLe. 
BliMQ); wliich i» "flun IiIm oho cHjido* for life. Tli« dprinit position U uauitied by 
WuilJng all Ui« joioM ill tl>« bind llinbA. and tbo motor netvM at Ihn Roxor iDimrlnt. 
nuTj-ing unt tli«a» nuveaipat* have tlicir origin ici thn ginal motor ginjcllon ^U of 
the nnlorior horn In A aetita of apgmcDU of tlii'- rli«t»I portion of tb<> ajiInBl mrd. 
Et-tilnncn ba> bcon brought forwiuil that in tbe proximnl p'>rtiou, from tlio feorlh. 
uplnnl wigniont ■i|>WBt<1, the coiSr^iantlon of Ui« miiticlnt tulcin;; purl in tbfl Miiunp* 
liun of tbn «priiig pnatllnii !■ <ilTi;ct«iil throngb umiill Knn|{lii>n cclla of th« poxt^rint 
honi. Anxtotiiirrilly nxpr>u«r<t, tbx oxiR-cjlimlrr prncp««i of th« innjill ganitliotii 
ttWn, tOK«lliCT witb tboir colIiti>r4l>', «lrnti<]i to ibo motor tEsngHnii fr.lln of tliO' 
floxor* of Uie liiud tiinbs iind PTiibrn<-« l\ii\w cvUh witb t1ii-ir tvrnitnul liroiichM. 
E»d] iDiIiTiitTial giin^tlou crli in Ibe fmt c.itegor; run \u tbii waj oeviuio*! » aimnl' 

' tatieona oxcltntian of n tiiimliDr of (tiBtmit mulor rr\]% and luetaaa^ oourdi Mating 
nirvbnniim for llirm. W« mBf uny tbot tlio elrni<>nla cnnr'tini'lfd by Ibln apparatna' 
>rp eiibnrillnnto to it, or tliat Ib« Inl.lnr !■ a pir<'>r4m>iliiig nppnratiia for tbrsa 
•lemeoTs. T\n- aiiiall i:'">K""f '^•'ll*. wbkh roilnHnnto the ftnxor irniirl™ for IL*' 
Manrnplioii of tlip optit^g posiliun, >r« plni^cl log^ltipr in tb^ pio\liiiaI pwl of iha 
Bpinttl curil. Tbry nrp c(itiQi.-i'ted In apftcc niid b»ve a caniinnu fuiidiini, and for~ 
tiiU rounoii muy br terni«d n "center," knd wore particularly a ■■oa(>nIinitine cmtcx- 
for.lhn tiMior ninocIoL" 

Till com III tint ion of motor ntave «e11a, In t1i« nnelnn* of tJi* fliHal ncrra or »f Ui«* 
vngiia or in tlifi Imllk Idnnl ipiiinl M>]{)iii<ti(H, wliirli aiipply tbn miiHrIra taking part 
in rfu-jiimitun irmy b* i-iilU'il lliu "ri'iipirjlory niu»>-1i> r*ntrt," niul vfbmt Yfc Iiave 
Ifiimril •^outeruiug the tiexiou reiitrr in tb<* fro^ warrniit* na in amiKniiig la aom^f 
t-HinipIcx of n«rvu mJIh tlie function uf brining llie liulVinr an') npinal rMpit*- 
loiymniple ccntcri into orderly', tela lol ii^tivlty. SnrU a couriUnating " rrapiro- 
lory cpnt«r"«OHld lie niins'itT ix^oordiii;; to lln; ii>n.il i^xpoiipin'ii onnrcrnlng thfr 
Innilion of bigbcr roriiiji tinting fnnrtlona, not In tbc niniiitiinlliin oplnal ford, bnt is' 
lb« ni'irc ptnximnt |><>tU«iim of tb« t^ntrnl nrtviiiia njati'in, l^gnllnitk, indi^cl. waa- 
abli> li> Kboir rabbi u nliiib coulinti«il to lifcillte ir;;iilnrly iiflor (be rfiuoral of Ihi*' 
(■crcbrjl b('tiLi*pb<Mi« togotliFi witb l.lie puns a* fur •Imta at tbe va;;>L* root«. D«nlh> 
followed till- rrnioval of more dindil piitts, aoircnni«tnnc« atliibuted b; LcgalloU 
l« ilraitniclioii of tliD Tagim roots. Flonrrns, liontivor, who nointad«at that rngot- 
oiny «->• not Imrnvdiati'Iy fatal, •■rrlbril tbo ra-ull to tbo ritirpation of bia mami' 
rilal nt th« point of tbi! ruliiiniio acilptiiiiiui. Il ia certainty trnc that Ih* dMlnietlon' 
iif a roinpniativ«ly Rlr(;iiiii]i>-rit<i>d ai-oii In tbia rr«ioi> will tnwv a middpn arfoat »r 
r<«pir:itio» and apued;' iloiilb, nnd tliin 'pol nmy lliriuforv bo pirlnr«rtiii«1y oallMl at 
viliil knot; bnt tbnl (bis pla^u ia not tbe nam of Ibe nvpiratory c<*itcr. na defined 
nbnvp, biia r«<Fiilly been ibown by mo niid Mnrin«i>^D. I)roirn-S^i)aMd in Frauc«^ 
nnil later. I.fliii;''ndoTlFin(iiirmsny,bnto longrunlrnded that the rnult of nnaren'a- 
■■xfirrinimt i* not to he. (ixplnlnnd by tbn non-atimulntlng rvmnvnl of tlui onlf piftoo- 
of vriKin of lh« rmplrntory aicitatloii, bnt by tbo atrong atluinlalloD of «a inhibi- 
tory palb. 

To lUv nnlhors jiut ttnined Ibo rMpimlory ninscle rMilera ara pUcaa when tha 
tmplratory <>xriinti«tidrv«Io|i« uud«r th« mimnliuof tbo blood, but wbera itma^b* 
I«pr«Maod l>y tbenen'onarxcilalion trunsinitted by tbi< vngu*. trigtiuinua, andotli«r 

[ natTM irbifik piny a r«fl«% part is the noranil rcgulullon of (be reapiratjan. L«ii> 
gandorff lia*Mt bia opinion du highly interntlng experliueoCa of ItokitaDaky'* on 
nc«-lii>TK noimala, nhieh I.at>gen(loflT «raa nble to (onllmi. oamcJy, that aoch anl- 
niala. If tb«y nre prevlonily given ■ little atTrnhnlnd, rontinnn to hrcntliM •pont*' 
aeoiialy ^nme tlnie mtlvt doi'npllnllon. It appenra to di», kownvpr, that time 
expurinienls can not lie nixtv of C'-'i"'*''*! appllcHllun witb tvgiuil to th« fuuutlutiHl 



< 



I 



I 

I 



PAN-AHRRICAN MEDrCAI, CONGRESS. 1267 

ln<l«p<ii>i)r«i^««f apinal rtapiMtory maicU conlcri In fiilly grown DDimiil*, tor It boa 
•ttUm bMB nhown tli>t t1i« *plnsl coril of a*wiy bom and of lower animkU pOMaWM 
ai:T«»l«r Indnpnoiloni^oortbeliixhct parUof Iho CHitnl nvrvoua ijBt*)!! ttuA In tbo 
fnllj KTown, In whom aloiio tho cliangliig ooodltlou* to whiob lh« tcapiratinn mu«l 
Iv iM|jiMt«d bave r»a«li«(L Uiat oonip1«ilty which make* th« m«cIiiiDi«in of IM TO|ca- 
kliot) •» iutatMlii>K A prulilam. Tli« lugicHl development of tho tilen of thenmMitiul 
iiidSfMiiteiiceuftli^iipiuBl respirator;' mtuclc coo t»r«niiut1nadtAox]>«riitii>ota wbioh 
wrratnMle bjr noneof theorifiDalreprMontntivunf tliU Idee, but n«r« tint done bf 
\^'>irtbnliBnr. Woitliniinef took fblly crowiior naatl,vi[">wDiIo;i*, carried lliem with 
Uniic-eoDtlttned aftlflclal reipiration orer the Immedlal* eouBeqiienreii of Miction 
helween oervieal cord and npinal Uiilli and noted tli« bvbavior of the animnlt wbi-ii 
arli&cial rMtpiration was elopped. UirM-<|uniteni to Iwu hoiiTn later. I!r.tl<1i>H ntlivr 
iiHiveeieula. bin aaimaletbowedalitoetKliiucaiued a circulation of ntr In thn tiachRk 
■nil tiineeil to prolong life tbree'qiierlcrs of an botir without urtiflcial reHp'rulian. 
Not Dia«b weight, to be ante, ia to be laid on the last circnmatance, for Ibr auimal* 
luiiat hare become eold-blooilod under hia mothml, and mar liaxe aolod Ilka 
k)brmat«f«, who nleo can livo with a minimal clrcalatlea of air in the tracbc>a. 
'Ill* ferm of tha taovomunt waa tbn impnitani tiiietLtloD and coiicvrning tbla four 
cKpcrimeataof mf own bavegiven mo an ojiiiilou. I uaed youii),'. acurccly grown 
dogs and txgan actiGcial rMplratioin dlreellr after but uot sootier tban the atoppiiig 
til apoutaiiAaaB bieathing after Uie iie|>atatiou of the spiual bulb. In order to avoid 
•ifnwilva cooling of the aaimala, I experimented on warm aaminer dajaand looked 
out for pli-ntf of corcriog. 

Alxiut an hour after tba operation the animal* bebaTcd Uk«admlmliler«ll«i pr«ib 
aratlona; when tbnj- were raUed bf tba neck thej attempted to lilt the heiul,aliow- 
\ng Ibat ibock hail paaaed ofl'; tbn heart Ii«*t wa« atroBK; ibe nrctal lemperatnm 
imlurd had foiled. \Vben the nTtillcJBlr««t'iratl«n was lnl«ini|ileil. tboaclmallylng 
uptin ite aide, It oontlniied at llral to lie •iiiwll;-, tbeo liCKau irrc--<i1ar iiioTcincnte In 
wblfb Iborax and abdoiii^ii took |>art, but nut to a protiouiircil degree. From time 
Ici linie Ibe dlaphragtu conlracled iudepeiidenll^ and aluue, while batweou tiinta 
Diiieclea of iuaiilratlon and eicpiralioa ahowed a highly dlaordered activltj. Tbeae 
cnnid not poaaibly b« Umied couriliniated reapirutor; movementa, anch na an animal 
tlutt liaa not been madoeold-blooded nucda tfliiiako In order to prmcrre Ufy. Theao 
|dii-n'>naana ner« repc>at«ll)r obiwrvud in the niune anlinal and ahowod Ibeinitelvea in 
■•■*>iillitlty the aame vaj in all four anlmitla. I got the Inipreaaion that the apinnl 
r«ia|>li«l0ry mnaclv centont did all they wor« rA|i:>l>le of doing afl«r lepnntlon from 
llin reaplriU<ir7 canter; they fell Into activity with the incn^aaing iwcnninlatlMi of 
carbon dioEid«,Jiiat ne did Ui» Hpina) ner»'e cell gronpa which onll forth olUet niov«- 
airnta,fnT cxamplo (bone of a limb; tbla activltv alia foanii rbyCbnilcjil exprewion 
nndMald beincrcMcd rellcxiy like thetnoveiusntaof a limb; but there woe no indi- 
cation prnaont that the apinal rupiialory mnade criilera pomeu aapeciHlly atrong 
•rimlblllty toward! the atimnlna of the blood. 'Dila perhapa might be due to the 
roollng—aarcelytn bo avoided In tblametbodof oxpvriBienlatlon — aothat I canglvo 
lb«*« experlmmla no deriding power In any direction. The IdeAof the dependenca 
iif aplnal reeplr&lery nauMcleecnlenonacoordiuating tetpitatory center in tfae aploal 
bulb wan Mil atriGllTdeaionalratediliMttaB the oontniry, wna not ibBkcn; raiber 
•ImiigllHined. 

Tli« afforta to IocbIIm the reaplratoiy center In ooa narrowly ctroiinuorlbed placa 
In tbaaptnul bn1bha*B(HU known) led onlytoeoatradlctlona. Flmiiena, Lungat, 
Kriieff, (ilcrkn, MlelawBky, and lIolin,haTe mob given a dlffur«nt bllaienlly aym- 
nwtrleal area wboae dtetnirlton on both aldee abonld ha followed by permanent 
Mapfilng of tbi> rcepiratlou. Tbla rMnlt la Indeed to ha hail at each of Chcee 
■|M>M. If a ooarae BecUon la Made, eo that the aurronndLng tlaaue it macb abaken by 
lie ItiKlrBBiciit lloelf r>r by lijemntrhago fidkiwlng the aectiou. The area* lying 
•ai|MHBelnll]r, Air exampla llint given bjr (liurhe, M often fail to ebow tlio reault 




1268 



PAN-AMKRICAS .StEDICAL CONfiMESS. 



wl>4iii till* MOlinn |i iiukde wjltioiit •]i«ak ta •iirroitDiliDi; iinil4 tuiil irlion Uiv hn-fli- 
(itrbiii;? Iiiippniih to lio alxwiit. In >iii.'b «ipanmi:nu, boitRrvi'. a tnumiciit liit«rrn]i> 
liuii luiiy ucvtir, but i* Imli^il to lie r«r<<rTui1 to t.|i« nil mii In I Ion ot iiti inliililtori palli. 
fur it iitiKnc* iilT witlimit itiiy tir.-iliiirnt. Ton little »tuiiiiiim U piiiil tu tliv daiii^r 
of )iciti|t dM«iveil bj Htiniiitiiliuii of iiitiibit->r.v jialliH in the attfiiijitti 1« luniilixi' IW 
bulbar rwplttitiirjr rpiili-r, allboii|{li Buiwn.Rf.iniinl poiiitul out tlii»<l[iii;{n lonjt «(;<■, 
a Mrvii'n for whloli we inajr ({ivi- biiu ctnlit irirLiviil aHiciitiiifi tn hi* RoiirluiiliiMii. 
I'iii.illy, It rnkiilts from IbRun Hcverul eiponmciita tbiit lli<> nticini't li> coiiliiio Uio 
r*»[>inl»rv <ii<iiii'r tu h nniruwly iMri'iiiiiicribRii m-a1 1i:u qo iiriixjir^t i<f iiiii'i:<u.0. H 
luuBl, iliilucil, imiilli' itiir[iriii» lliat thr |>i-will>Ihlj nf iloliijc llii* hIiiiiiIiI linru licnii )i«l<1 
tv tie BO iui|ioi(uiil : In fnrt, Tur luiirc liupmt.int tliHii Ilin ili*iuii;iHlrnli(in of lurva 
unlU at tile {iliirc in <|iiivitii>ii. We (hiuIiI not, lii<l««il, ekficrt Lliiit iiMr« erllii wliirli 
Ciiirjr out u ilfliiicil cor>n1iiiiiliau ^ll(llllll bp Irr^iilarlj' strewu about in tb» raiilfii] 
nnrvoiiimjratam; ou ttie<«ntnir>-, tbcy tlioulil bi<atiit«<1 in a welt-ili>Hii<<il iiiia(<iniii-Al 
liyiit^iii. ThciP niwil, huncvcr. be do limit to tbi- ■rpMratiun iii r\tu.rv at lbi< I'lnxiunhi 
ot ilil»«y>tt>iii, rKriijit Uint fft by Ijjecvmiuori miutrntncnlaortlioe^iln at Ibt- i.'iMiU<r 
Id fMpecl of ib«ii f«o>l iinil tb^ir blnoil anil lyuipb «ii|>])i)r. 

It na* nut |>r»lisl>l<.< tlini fiirtiinr proicrma !q the toUiUita of tlio t'^blumi wp hav* 
brrn (liavuMiiiig i-oiilil b« inncl* wltboiil a iiivllioil by wfaieb vi^U-ii^ive <>xlir|>atioiia 
ernild biM.'atTieil uat. tlvp bytlvp, in aiivb a way that Mivh imliviiiual pioi'i^dnra 
■lioiiltl vuua* th« Kiiislk-nt jioSAibk iiiliibitioii xtimiiliie; (but fjtrh fitrtb(<r proriHlum 
(Uoulil betnadfoiily oflcrtb^isffcol of Ibcalimiil'it of Ibu prccediiig liad died out, and 
tliut rnfb ■ucccsiive act sbuiiM i>critii( as Hure » loculi^atiou of its ulfrcl as tbo 
jirioiotiR on«. I hod urDD Ibnt i.-uiitvriuiItDu by Uyiii},'OTi unall pli>t<nt of blut- 
till); iiaprrjaat uturntod wtib nittatoof ailvor fnlfillrd tliecciodilionoor Ibi- llbov<^- 
nii*nlioiic<l mnt.liod and 1 hod oIWi, before my nUnae*, Ihui citeu iicilc* in tliti nicilijlla 
c>bloti(;ata of rnbblta, which inclDded nSI the place* givrii a* llie ipnt nf the ruapirn- 
loiy MUter, witlioiit tb<> rncpirntion ■lopiilDjt- lt"t time waa t.iRklnje fcir tbo ayi- 
tt-mnli« euipliiytnerit of the nifilbod itnd I wu ncean1iii)(ly nincb i>lt-UH(<i1 nbra Mr. 
UaiiiiMi-'u. wbu had liwii prti'Mtt at on«> nf thn>c d<<cit(>uiitrilioiiii, dei-lnn-il bia Ttill> 
iiiKneal to inveallgate the iiiuKm' in my lalxirnUiij'. Ur. Mnriiiiux'ii It^iitnrd first to 
do the fund amen tal vxpcriDii-iit. nbich limt In lie leiiiTivd IcM un iiuciiiiut of tlifi 
le>(uUit«' niix^ly of miinipnliitioQ lliim lo HcigMii" a ciouviotloii of llie uluolnti- imt->- 
tsity of K<'lni; very slowly. atop by atep. In time ptcUiniuary exporimentaMr. Uari- 
pir«cu foiiud a alill bolter lur-tbod of exlirpaljou; liuniing by nieaiia of gUfn givutU 
Bhealxo of n pin'a be»d, mndc by meliins tbc end of u nrn.- ulii** tlin-i»l. Theao 
l^.iM penrl* uro Trry lijfht. aod t)itii> nil [iiruiiire, nil iblini'k. mid nil bimltiig nre 
aroidml, sud tli« opoRiUon lieM la alirnyii qiiilit rlcan nml elnirly visible. And ibit 
]>To>-«duro also niali<H niiicl) vaAirt the liiler|>i-iitiitioii if tlm aeetionH of t|i« miiiubly 
liard«ii«<l liMtim In rcjieFt of Ibe oxietit aud tb'- lioniuluricn of tb>' extirpulloa. 

TImi tontt ooDtinn«<l exFillnlia of Mr, Marinturo ruitilnbt-d nn :i ^r^iiC uiinilier of 
|irr)iarati»iia from aniBinbi who cilber had conUnued to linalbo in «pitv of oxtMt- 
■Ivo rxtlrpntjoim in tbe apiual bulb, or wbone often inbibitisl and ua ofl^n r«vur> 
tiag UMplratlon bad Anally oeaaed after tlialoat a] ij; hi axle mi on of tbttrxllrpntion. 
I lay (be moat weljiht on ptvpnmtloiia from nnimnU In whom tbo esltr|>aliaa waa 
dnu« niily u«i one »I<1«. 8ucb anlmalji brruithnl on iinlntririipKully nod kHntGlsiilly 
with Ibu iniiiijnred HhU. Ttioy lo«l by far leM bent Ibikii In Ibe Wfii-theiciifrr espetl- 
ineiil, becniise artiliuial lyaplralion in aveidi'd and tbr dlrinion oftbe luedullu, erpti 
In dorp extirpulioix. ikiex not lake in tiiu lurf-r a part nf ita riiw* i>eotiou. Whan in 
•neb nnlmila a iinlliiteral cxtitpaliuo («iimu tb<' reapirRlion to (i»p on tbc operated 
Bide and tbero Ix iiu reUirn daring boiir* of oIwrrvnlioD, in which tbt* nnlmal i« 
iiM<anwblto bieiilhiu^ BiilHvlently wllb the InlariMdo, Ibe ron<>lni>[oii !■ iwrialu thai 
llie eflVvt of an inbibilioii xtiamlua ban pi»»-nl uuny and Ibnt lb« pheuoncna 
tvNiainin); ais punily tbr expiuaHit'n of a Ium o( faDetioti. Wo knvo had ttvquently 
tbe BpporUinily of nbncrviuit ancb auiunita, Tlie iiuilalcral bteulLiiig way with a 




PAN-AMKKICAS MEDICAL CONGRKM, 



1269 



little pruitirp Ii* ri-cnenfiml viith a fair ilrLTOii of nirtAliity, »vmi vitli iiiio;inB«d 
aliitoini-H W» IhiiabiMl llir> ulinvnrilloii, liowrvrr. !>)' oiwiitn;; Die nlMtoiimi. uflct 
ttnif •fioiticli hii'l pKMnl for Ibo effnt of rtii> iiiliiltilimi HtiniTilnii t» likro ilianp- 
iwari^l. mill i)pli'niilnii>K willt itll cMtiiiiit.v huiI hy iljti-i'l itiopoi'tioii of tbi> dliw 
IiliiiiKiii Cliiil iIm) r«H|iir3Uoii hah ativ-Mr*\ •ml Cli4t (lio (jihaIh- linlf nf tli* 
rllii|ilitaKiii ■liil D"! Iiitoiiiv rli>'h'^<-'ti''nUy nrlivo ordii wtinn thn noatriU •arnv 
clntnl br |iri><niii;- tlir-iH tnitvilipr. A* ii>pli_vi.in oixiHw on. Iii'IkiiI, nvvi) thld |>i>rM<>u 
of llii> (I<nplir>|iiii lilt))' h<i ilrnwii liii» llx- w |(li-ii|>r<>itil Im'uiiliir clonic cniiviilniiinn. 
OlwuTHAllimt ol linn norl on rnl.lilljt, rnlt. iiiiil •lnu" "' 'liffi-tuiit iiki.'b Imvu Tiilly jiur- 
wioijnl iiic iif lbi< ini-iirrrrliieM n(' Itroirii-SA'iiiurirH, l.unueii<lorlT'ii. uihI We[tli«i- 
fn»r'* Ti«««; Ihr ii|>liial tu-ipinilnry iii>i»rlp iwiiuri iin> nut. id my opiniAii. riOitCivFl.T 
in<lepi>»il«i)I lit till! lialbar Ti-njijr;>rnr.v •'ciiliT but. uii tbo cifalnry, uxe wlinlly 
de)ii>Mili-iil am IIm> InUvr iu ibnir riinrCioual ni-tivity. 

AllliniiiiU n (nin^ili'nt ilUtiirlHiiii'e "f llin r«apirnMi>n r<illoiria «v«ii n nnrmwly «jr- 
utttMkrrlliFtl Hnd I'lKnfnl xxtlritklloii ul ni'iit )ii>itit> im ntid liHrivnr.li itio Aunr or t)ie 
fonrlli vrtilrlcla. .vol n •llffnr>inr« 1* ta lie tioliril, AlVr hdiim oxtirpatluii*. as moii Ha 
tlio aflori ul' 111* liililblliixi xlLiiiiiliin Iim pm^nl citT. till' Te^piiulion ontniM Iwiik ■« 
•Iniii); «• errr) but 111 ■•Iburi' nii<>tii'i>ul>1u wioikoniuf: uf tli« r«4|itr:ktion reiiiaiiu evea 
tthcii it dom mil uiiitxint Ui |iotitivi> fiiiliire. 'I1i« uii'Un i;iriti^ tlir liilt<-r rmult IJo 
III lb« fiiniutCio irlk<il;iM*. <rhiia« uervo opIU. Ilirrerorr. arc iil Irut In jinrt in fU- 
Umi III t)i^ biill'jtr rra)iirili-iy «>Mil«r. In liimiiiii ■nittuuiy, no U irdl knnirn, IImi 
iiMHlluti pari, or roiiniillfi n>lj<'iiliiriii'ill>ii (nnm Ibn bypnuliuiiiiM root 1<> tim tnpli^). In 
>IUliiiiEti)«licil fiiKii tlir liitirrjl fiiriiinlio riTtli-iiliiiU f:ri'Pii. tn man, ai>il bImi In tlio 
niblill, Ri3ii)r iii»ra> nxn'nrrlla timatn'Hii llimiiuli tlx- Iiilrral tliati tliliiili[1i Ihi^ iiii'ilinii 
part ii{ lb4> loraiiiliKti, wlilli' iii iiilirt atilmnln. foi •>ihiiiii1c tlic f:it, (li<- nuinh>tr i>f 
uvtvii f«llH in tlif itii-iliikEi pari it vriy larj-u. (.'-iTri-^poiiiluii; In lliix. (<xtir|>atioiia in 
^n i-at iHftwrai tlio b> pogloH»ii» nwt unit lbprii|ili><, wbun MilDrientiy i1im.>]i unit lt>ng, 
Mrlniiily intpait or wlioliy itlnp tlie btrudiini;, wliilv in tiie nl'bJt tliL' foraiulin 
nilrularli Ulfimlia ntnA be r«iiMivc<l in whiio dxluol in onlcr Ui lin«lly >Uip tUo 
rmplmUnii. 

Tlialtbnat'>ppln)ri>fmi|iin»tJon aftor rnmo valor IIinrMpiralorri">r1a of tbnfonnn- 
U<i iwlicitUri" •* na not ilni> ■liiijily Ici Ibi' •nut jiiu of iiilra-RRiitml (-i>ii(liirtlTi|[ jiatliH 
Uulins frnni ii iiioic ptnxlmiilty f^ltnat'ol r<ii;>lrjl<iry •nnt^r, lint waa llit- rl^^nlt of 
Ibf tiHiKival of •■■'llnlar •-IciihihIx tiilliti'iiriii); i.li<- xxjiirjitiiry rliytlini, wna Miuwii Iijr 
■rlmaliiii'inciLjiriiniriili on nilil'iU. Ill oritur (» mnkf ■ pitruinHrTilicd ciM'IrintI 
■iimululioii Iu Ihii ilrplb* i>r llii! Uulua we nanl VMv liiis iiiMtit nci-dlm. wliicli worn 
i-DiirtVil In Ibii |ininl* Willi iilbin riait of varniHh. TlirMii wore iiuili'il nilh ttix •or- 
iinJiirj Rail of a Du ItoU lt«yimiDil iiiiliiiilorlDM 1>y inniin' of virry lliiii, *ott, Roxl- 
lili' ronilaotilii; Hin-a uml a Oiiitlon ko)'. At Itiii unlor'ti'il pliir" llii' nwilli'a wnro 
pMiiiHl dixr I'lK'ltirr iUniui'Ii lhi> lloiir nf tbi> fm<ly rKp(»i'il liKirl}] vxnlrii'lri into 
lliii lititb. Till' plai-tw wliii'li we ilr<.iTi-il l» Aliiitiitatn Iny at andi a ilcplli Ibiil llio 
MMHiln i-lai-lrwlfw vkiiip aiiflli'irnll) fitril liy lli« liwiiM lliionsti irblch Ibny liail limn 
tliintt. unil till* tliititii-M Hill) •oli-tii-fu at lbs ciiiHlitetinic wiriu pi<rniil[»l Uii.> iiivdloa 
to fnUiiw nvrff iM>v<<iBi<iit ul llii> aulnaiil, willinnl Ihu ■ltt;lili'«t ilttptuc«iiw<nl in tlio 
wiKiHit. Ill liy fni tbii irronli't nninliM of umimw tli« intrnilnctioii of tlin neeill** and 
Ihclr niatliinsil ph-*oui'o, ■» lon|t lU tlie niiimnl did not How tbrvtiHh lli«ni, onuBMl 
IHi itllorallon Iu llin iwapir.ttory rnti'i' wrllicii with Ibu tPtpiratory vii1nmf< wHli'r 
tn*r»)ilrlb)»»ii>i:i»pli>. In IwiiunlniaU. IcitrKTrr, very iiiliw<'iiliii|[nlln>-kai>ri'iMi)[b- 
hit; H't* uli-rrt'i>il, wM'li iiliiii'k lii>iii|[ prpfniral by au Interval or rjiiicl, ami II wna 
fiiuD'l liiiPi iliairK'-i'iriliiii.'ly iiiiuii(i> li:i>iiii>rTl>n=i->i bail Inkcu ptnor Inlo tliK *iiliat«iit<i> 
nf tbn foriiiiilio ri>lirnliiria Iiili<rit1i». Tlio Mi'i'tlinll allniriliillim was inwlo nltii tlie 
Htniciilary roll at fill I'lixn lbi> priniiiry »« t"'*"'''l*'> "oil wbilo tlie r«aplral<iry «iirva 
«•■ tii-lnic wrlltKU wtlli tlir iM^riipli'lbyioii-miipli, 

ThB lltal maiilU wlili'ti u|i|>eiilvil wjlli llie Mioillmt Ktrpilin- dlimnlii't vittr •Pim 

wlm llio sMilW «*r«i in Ibn lornMllo rvtictilori* luinralia, aoil nuly Ibnn, and o<m- 




1270 



PAN-AMERICAV UEDICAL CONGRESS. 



■UttMl of ux inii)iiratoi7 cbanRe hi tbo lireutbiiiK. Duiicly, » 4ulck«(ilii|{ of tb* TCS|i!? 

•lory rbytliiD. Klottrictil (timnlntioa below th* point of the calnntiu ncTlplvrlda, 

*Dil Mpvcinlly fiirtbur dlnlfll (Ixil itill at > itnlllolMit <lli>taiiR« froui thapbrwiileraol* 

t« pr«veul tiifrir oxcltnlloa by tli<r vnry it<tak cmroiil w* trur« nslng), also aSiirM 

Ltharatpffitlitin. H«iv wnrdolmKrvoil.firnii wItU tli* w«akMt*tiniull towblali tb«r«a- 

P^ntioit til capable of (•avtlnjf, only CuUnlu ouii tract loiiJt of iti« ItitpiratirrjriuuwlHt. 

ou wbicli«iireniip«r]iOM(l tbsrMpimltiir TnoV(nii«uUfn th«irprvvioua fiMiiipncyiiiKl 

dpptb. Hera, UiMofure. we have to do only witli the FBrfbro spinal muiui coutliiot- 

iDK pailiB ttwn thu iwipLriitary- center to Ibv spinal rcopitiitoTj' hiumIo ceoCen, mid 

thU bolila MMtitiully truu for tli« nccud viltil ulio, vhile in the fbnnor enan, whi-rkt 

klterstlona In rliftUia wura obiicrved, u-« mnHt aiippoip tbnt nnrin crlla wore in 

I Mtlon, nnd tlxMO noivc eelli itinut liolont; to tli« mplrulory ciTHt^ir Ito^lf. The 

lidrMiendlu^ motor condactliifi pncli* wi*rr> ln<'a1l»'d by Schlff in thv iatornl foliiniii* 

of tbi^tpl&al «ord. Mr. Marin<-«r(> viiualiln to CDiifti'in Ibln ulali'moiit by lliv tiM of 

III* luetliod of pruf-rMaive «auti>ti/iitii-ii. Iln iiin<lii ihU (ixtlrti.-illon ou one elde 

bclweon the tint nnd third opiiiitl riral, and wv <:(>iiHiilvri<d tlio )i.-ith ia (]uvMiui) 

vrhollj iulflrrisptud trhpii iLif r«<i;>inition ■>u Ihx »am« riiIu did nut ivtiiTo afl«r an 

L lioitc'a interval uor in dyitpiict& (tbr diiiphtnciii buin); expusiil Tur in«pootiDii and 

f the animal cantiiinini; to l>i<?ut)ie witli tbenDinjiiu'd •iilc)- Mr. Murinoico wua nble 

to irlvo the ait nut ion of Uiia latcriil imlUmore oxacdy: In tli« prooowiu retirularia, 

U laloral colninn nt the Ihwc of thd antrtior hurii. Tbia !■ very •aci*fai't«T;r. for 

Ltbo raaaon tlmt llin bnlbar c»nlliiiiHtlan of Ihn liiti'rni column U to bo aonjcht In tbe 

Ifbraiatlo Totlcaltiila, vrliote miIIh am concitrnnil la the Aim^lirai nf the rmpiralory 

|eMit«r. I bolil thi«rti4iilt to br liiil<<«rl Hporintly unrl^lHctory, beoaoM thndrinaiid 

r ihat a center atiliBorvinfC a il<ilini(» fiiiictiDu *liiill bu n dcmonatrahle (ri^np of iivrve 

colla, fur nxanipla, u i;""'!' '''"> ^* uni'Ieua of a motor rerebrut u«rve, appenra to 

Bia to real on a prevonL-rptiuu wholly without fnuudntion. A rotlrUinatine nieeb* 

wiUiB of the blKWit Older for aacU an exteiinive motor apparntua aa that for nwplr* 

allon roqalrea too Urf a nninlx^t of ecri'e cclU to make th>i realixation of auob an 

Idna poMlbla. All that can be di-maiided ii that Ibo uorre oolU whiah aabaarve tbe 

r fliurliou of tbn raaplratory eentiir nhnli bn to urranx^d that tlio^ raajr bn 1»roD|iht 

vlplo relation with the reaplntllon wltltoiicpoiiflictinn wltb the blatolnjtlRiilly gtrousded 

leonceiiiion of the ayateniatio atruciiire of liio central nerv(iiicay4i>Mii. It l« eiaetly 

P'koM tiiat the coineidenee botween the looalluitloa of Ibo aplnal ]>afh ami Ibo bulbar 

wild buoonica ao Rnliafiu^lOTy. 

Th«i« Ht« ph.vHiulugiHiM who r«fii«i' all eonoepUona of a raaplralory oooriluatJMg 

ncchatiiiiin founded ou an aiiatomicHi liaaia. A rrptcwnt alive of thin achoo) (LbD' 

gMitlorlT) baa recently vxpieo^d hit vien a ou Ibia ijnMtion a> follona: 

■ " Bjr roapiratory ceutrr shuuM be iiuileralnoil the mm of tlie lodiridnal ceolria 

nf tbo renpiratory DHrvM, wbich muac be eoooeired ua nuiCed iu a pb}raiu1viti(*l 

ivDlon." 

I 111* fact of tha eouimoo harmonlona worklnic of iierrc center* widely aepAmtod 

Efrom oaob otlior aod anpplled with blood under dlfrnrvot mndltloti* can not, lioir- 

'^•ver, ba explainod lay tli* «>lBt«nou of a Hioil eliain of tdena in tbe bond of a |>liyal- 

utogUt. lb order loiuacb u anient ifir eKpInnttlon. from whiiih we are, Indoad, atlll 

Very fur off, we muat make an earno-it attempt to gel a dellnito idea of an anat^in- 

i.-nl connection botwwn these ccDtcin which can Borve oa a boaia for eiarl phyiie«< 

ebenilcA) cimcnptlona. Only aacb hypotbiwoi con point tbe way to (ruiifnl experi- 

liK'iilntioD, and only aocb (not m<-l»pby>iiral dicta) can bo matter for acientilie di«- 

eii«>lon. An hypothoata pBTinittiuic aiich dltruaiioo lu» bron reeeutly advanced by 

Ex tier and Oroaainaiin. Tboj al*o believe that tbay can do irilbonl a culndiualini; 

Lveuter which khall praurdliiatetliorvaplrotorymuKileceiiieTi. Oroa«niaai>atl«>mpl'd 

l-tu aepamte the bulbar reaplratory motcle ceuieia (facial uiiclciia tot tbo raaplratory 

RiMvomeiita of Lbs Qv*« uud vagua nuolaus for tlioaa of tb* gloltia) from Mob i 

naad from tbe apinal reapiratory miiaoia oeutora by aiiooeaatve aeotioua. Uo I 



itl^mplrd fl 
aplratory H 
aob atbar I 



FA.N-AUeRICAN' UEUICAL CON'GRESS. 



127i 



1\v oonld «il«1ili^ l]i« Iaw tb»t n> I011K u any two of thme ceatvn lr«ro tn eoiUMe- 
tliiti Uhi] Miatliiu«>1 t4i hiiictiiruafi-, bia thai vaoti ceuaed In rQni-liounto m MOIIW ' 

I It WB« couijiUUI; Idilalcl frnni tli« olIiM. 

I UniMaiKBa Cnatid tliiX a m^u<iii liotw«m llie rnrinl naclnnn aixl tb« vugm niiol«ii« 
Htoppnl 111* r<«|>ir>(t>ry iitoioU'ViiU i>r tbi* tioir. wliiln iJiimo gf ilir ):I<iItl8 aad 
tkorsK viill ountliitic'l. Ilu fuuixl fnrtlivr tlmt n MHitiuii IkiIwcco Ihu vagu* ii(icl«iu 
Biiil Ibe a|iinnl cold Htup)>LMl th>^ tliomric uuivemcnUi. wlijle lUowt of lbi> nu^c ami Itio 
XliUia ouatiuueil i aud, 6iiulty, tieuliwrvid, ou thoolbcrbstid. lb»t lli<^ iiii'Viviiipiitii «f 
•11 three, Boao, glotlia. Mid lliotai. c**k(1 afur tuo b>ril.>ii« wrri- inudc, Uic utio 
iMlwvoa tlw fiMikI and tlio ira|t<u nacleuii, tha oilirr InitwvBii tbe v»}piH uuoleiii uud 
tlin«|i1na] eotd. Tlicao axjierlinoitta InlEimtrntid (lr>w->iiianii U> tbevoiichiiiiuii (hiit 
tbs OMitor Botve cxIU of tbo variou* T<u>]tl(at(iry uiusole cvut*'!!) 111 usC be united witb 
«Mb oll^r by iiaivo coiiduotlBj; jialli* in wicli a way tlint «[ivb uf tbnu iicrvu «iUa 
MMMuulcittM lU I'xHtalltiti ii«t utily ««<a(rifiii:ully lu tbu lumole fibotn dejuMidont 

|«i|i ll, liai ulav wlUiiu lliii nuti>r < iiitracviit.ini) to the uerve e<>lli of otlicr icsplrn- 

' tuty iniufle MuMra. Afjaintt Ihia byputbwiia U to ti« nti;*i that the only t«*t 
wliieli tlic antlion'' «ii>eTuii«uta liaw uii(Ivi);utii' fcoiii other likudn ha* TuUed to «ou- 
nm iu tile Diuat inapurtniit parliouliir* the ubarFttulJutin nu wbii^h tlui by[iotlii:i<lii U 
b«a*d, FiedcriiT luid Uietiriiit d«cUt« Uiat lliey hnvc >«uii the rcapiiHlor}' iiiov«- 

, Bi'iila uf the |(luttu conlliiun utter «iiiiii1ota Uotation nf thi- vac'in ni>rli<iiH by 

I •Mitluit iH-twn^ ru|[ii* Mirtrim ikitil F.tilal iiuclru*, ita wvll lut tirlwi'wii tliv viigua 
niiclalia Hlltt tlia •plliul i^vid. ulilln IllO iiiovoiiiviiIa uf tlin lioau oiid tb«) thorax 
*I(<Ii)>k1. Tbla aiiiMiBtici-iiK-nt l» the iiii>r« worthy of atti'iitioii tot lbi> tviuuii that 

I Kll«t UiH abovp-iiiriiiiimiM] FUHilunt liavu l>(>i.-ii made utily tbu vu|;iis niii:I(<iis rvuiniiia 
In MHitii-'otliiii with tbu nvjiiralury rvnl^r ilviiiimxtTateil by lluti[i<»uu aii-l iiiu, ju Ibo 

' fuTinaliii reticulaii*. Dut a t«rioiia luintru*! of th« Exiivi-(ir»»»iiiaiin liytiotliniii 
til 1m jiolillwl cvvii without u tnpitlilioii uf tlidr exiivTiiQPiits. fur Ihi'ir byjiolbi-kiii 
la Kroiibilrd on th« oanuuiptioii tbut tbo lootor B'usUun celU <au aeud an impuUo In 
inoUilaclion*. 

I E*nh iBolflr coll poaieaaeii, ■• a iul«, only oiw aiia-cyllmUt proroM, and wo know 
with «vt«lDty that tho azcitatloii Sa annt out of Iho coll by tlie way of tbl* proooM. 
IwiioUm r»iich tbo «eU, Id all probability, hy meana of proloplnainic procotaiui, and 
fr« know tiu blktoloKk-Al dltff<rviK<« bnlwoon tho jinttoplnaiiilo iii<icrmih> that Jiixtlflo* 
iw in mIooIiiii; •una fur Alfrmil acid otliiira fni r^ri«uC liuiiiilmia. Tbnl thi> ni-II 
w»nld rvcelvn and wind uiil itii|iiil*M by thv rlliim> jiath a|i|r«i»r* liTiiiruliiibl* whuii 
tkt rJaMtiwI flxperlniMit uf ibu (ciitrlpdiil «iliUiilutiou uf tlir MvorMaiiivriur npiniil 

, fiiola of llie frvK ia volted tuniiiid. The folly il«iiiuUBli'ali>d power of DurvM to tiiiiui- 

I lull tmp'iliea iu Ivo diruitiiMia ie>)uireti that Iho iuipulae aii«iiig Iruui thlaittiuitiluliuu 

; aliuiittl t«<Mib the oiutoi aerva cells. Aa. buwevor, it ia kuo* u that the atimnlaliou 
M nv ilalblu oIlL-ci, thu iiupitUc umi not have h«eii tnnauiillod over inlnu-entru] 

I ruud aclinic )>"t^*- II '■ nxMt pri'btble that it doc* not |>ua the motiir ifitiiBlion cdla 
nr. perbaiM. tUic* notPTeiiNilor Ibom, TIimr rcflvctiima, indi-ed. leitou too uniurluiD 
a Inala to tli<iBiMlv«M ovcclLruw llio byputlmi* in (|iintloii, but they at Icaai point 
to atiiannnBtH by wbich It uiay ho t*«tri]- Tbu hypolhaaia naa bora of wctinn 
Bipfftinietila and luual wilbtlutxl tli* laat of all in uUt Ion eip«ritncutii. If thoKKUor- 
OrMalDiuin liyjiolbnaia ia cufivcl tlifl lMiUt«d itimiilatloii of a sllij;!* nsaplralory 
lBiMclai:*til«r«bottlilatreiiElh«u lh«)Hipitaturyuiavouii'Uladoi><>ndlniiDii Ihu rvuialn- 
lOf; i^plratufy Mnt«r>i. If our aimoeplion of ■ preurUiiiatliif; tvupiratory c«nl<>r In 
Uiu foniiatli> ratknlaria la correct ■ narrowly viicuuiBcrihvd •liniiiliM cKn InthiMica 
la tka miia way, rtvplratory biiihiU coutera lying fur apart from eanh ulbur only 
wliou tbu aliiniihi* tcoobea tliv forniatio roUculuria. 

kir. AmhTini iiudarlook tbo niporlnianta In uiy InlMwntory in Ilcrlin. Ws llnl 
davlanl a metbud for wtlUng llw roaplraiury iiMiTi'inoutM of tbo noi« oa the kylil»- 
gnphUia •UanltuiiMiiuly wlib lb« nwplratury voliini* cnrTO. Wban the atiniilatiou 
tt^rluwnt d*acril«l a>>OC' waa ivpralcit with tbUualbod, It wuaaceu lliul whui 




1272 



PAK-AHt:itirAX MKDICAL OONIiKK^a. 



t)ip iioinU of llie lirn ni'i'illn <t|4'<'lr(Ml«ii wrrr |isfMi>d Into lli«- fnriiiaKo TotlMilnrtil 
l>iT'-(nV>* llic (inirkriiiTit; in llip riviiiii-nry, wlitrli w«> nlri'nily iiiow In Ih> u ■-■•rlulii 
Inilitiition of u niiriiiiiitl, i. «',. Ii>rnl> i-ll'ii'tive, »iiiiiiili>ii»i), wiio ii<il llti>it«l to llin 
Tvi-|ii)nt»t]r movi-inriitH o( Ibc IhiiTiiK, ■•ill. thmv iit tli« note Wfin^ litlliiriiii-<l Iti tlin 
talon Kuy. Tliii> [mull would tint <i]<|)'>!>o lli'< IivjhiiIip-ia mxlor i>tiiiiiiii»lli>ii. |>rti' 
viilcd it U ncrrjitcO lliat i»ir sliiuiiUlioli PUiri'lit n'lirlinl Ihp viij-iim itllrlviia. Wo 
nntunlvf* lir|Uvi> thiit tiii> p>H»i1iilily vim lur rxrliiilvtl nitli cutluiiily, but it >» tlilfi- 
ciill t<i rnriilub «vid'Ti<^e tliat will pniiviiiio ullii-rii uf llila. 

Tli(>iil)t>Vf>'iiifiiitIniii-'l riviult or llin iiiiiiiinuli>tiiiinliiUi)«oribo|itttPMaiiaTeticiilftriS 
ill Uio pri>Ktm:tl part nf Uiv cmTiral cuiil, nin*Uli> in itii Inrntnwi) toiinM of all thA 
l.liitrnei'- uiiiM'tfi* nf TrH|ilr:>ll>iD wilbmil any nltrrjillnh in Uir iVniiimio^ buiI ilrplJt 
■if till- iiiilivi<1iiiil n'n|iiriili<iiit>, » Inrt ll<n|. u:iit iniMtifliMt bj ii* lo inniji lltat w liait 
lixlo Uvii' iiiit. niiliii rriiU-r. but Willi an ibtinrf^ilrnl iiintnr fiitli, TTila [mil) inliilit 
Imrl Dinii lli<<fn<iiil tiiifti'risltiriMi);!! 11m- viii:iiMiU<'lriii to I In- »|<li>ul rTS)>ir.i(i>r.v iiilMrIn 
(iriititni (Kxiicr-(>riH*iiiunn), nt nniiiUl iiiiiiivi-l urnr nvitiraltin r«-iil>-r willi tl>oii|-innl 
lv>|>linl'ir> tnnnolr n'lih'ni. A<'c«T>liiig In IIkt l^xiiPrilrotHiiiaiiii )i\|<«l)ii!Bii wf limit 
fiX|>(<rt lli:it tlie Ktimuliilinii nf Iliv |>atli woiili) iiltiiiriirp tlir iiiiittil nixl (1i>- lliornoia 
linutiliine ill (lie ■niiii> niuuuri-. Tlii-vx|iotiinni)t, bow<?vcr, nhovis ri<ry (1eri<1i'i)l]; lliiit 
tlila 1* not lli<- eatp. 

As tlio i>lliiiitlii* iitrrratri* to tli«> ]H>iiit at wlilrh Iho iliCtv«*Hl tnnnaof tb(>lli»Tn''i« 
iimitcli^ lit lii»i>)iatii>ii )■ {itiiilin'ril. uiiil itlli'Tiilliiii iiiiIt>iMl >a|i]M>uri> nli>» iti l)ii- hiiniI 
luuvi-fiii'iitH, lull litiif iiulip iiiiuttirr rliarii<-l"r iiiiil itlll'i'r)kph[ir»lnlly l>»iii Ibc roiK'tiiiiii 
»f tile tliui.ii'ii- iiiNjiimliTT}' niiiM-lr* in thni it (ittllulti ilic mtamliillon. TliiitnBil 
ntli«r uf ilH icuiuiiiiii;; |>euiiliiirilii>-i rhiir;irliiriii> It uh ti niai'tinii li> » piiiiifiil ttim- 
nlnliiiii, viliicli rmi:lir>ii njijieara iilwiiya iHi»'k carliAr in Ihc nntie lliiiii In ltii> llHtnlx. 
We llavu iicv«r airMi ail iitiireAw of lbi> tmiitB iif llic iiitpiratory BinM^jm nf tbr niiMt 
rruiMwl >>}- nliuitiliitiiHi i>f lli« ii|>iiial ■■■•■|>iiiil(ir> ]>nlli, ami vre 1ii>liovD, ijinrfiforn. Ilint 
tliU |iiiUi rnoni'i'lii nnr rn*iiirali>ry rvtiliT In il«? ('■iiiniitifi rwliculjiii* Rilli IIh> aiiliuil 
rMplinlory hihih'Io (wiil<-ra. anil •!•■•( Iin rtriiiLiMni |<t»>tiii't« a vtnililrriTrrl nnlj nt 
. linn fiiiil (if tlifi jintb. An iiliulntli"'* |>llli iiiii*t rAitl. nn-nrilinR In «Tti r-ili<-o|itl<<il, 
iHitMrrn llii> nvg-ltutpry rriilnr In llif> limiiatlii inllrilliiria anil Ibi- I'uriul tiacli-iiti. 
TIm- rauilll "f thi> •limn 1:1 It mi af Ihi* |inlli iiiiint Iit> Kiuilnl !■> I)ii^ iibh*) niiivi>iiir-hl«L. 
hi fai-l, W'l' liavi" ti|ri'L><>il''tl, Willi tlii' :iltl "f Ihi- iitwill* i-Iurtniili'*, in linilini* pla'PH Lit 
III* ili>lal mil nf Ihv fui'iiil uui'li'ii* wlioir Htiitiiililljnn bi lliu vDVrlivr pniiil raniia 
ixil>' iiii-TuiiiHil txinm <if lliu iiaaaT nmnrlrc, In njii<'li tli« llii>THci<* ■iiiihcIi-* do imt 
|initiri|-u|i'. 

Tlia i'xiit><ii€v anil iii««niD){ vt llii-> |»tli miiy fnfimiiiinlr 1m> alill mum ejnarly 

diuwn (ly a rulnbiniiliixi of the Hli Nil ion iMIil tlx' •"■■■(ion cXIinritiK'Mt. It I* wpll 

knnwii Ibnl MiiHin, Itunkuc, ami llbrii-tiaiii lisi<> luiiiul pUriw In ibr lirlcliliur- 
liiHHJ »f llw A<)nudDi'lii>i KylvU. nl. wliid) tliHru'Dl anil wril olinr-trlpiiipil rrarlioii* 
In lltn lirMittilnit ran l>p (iJvilimtil. llun«vvr»)l;tt>t an> Hiv twiwinH for mlliii); lltm^ 
pUt^rx "cvnlpr*," Bfl<-r tti" nxnui|ili> nf lliutt- iliHmvirmin <t)i<'y an pmlmlily only 
piilnta in An Inijioilatil rnnilupllnir |iiillO, Ibc tibcititiiiiiu itiMotrlliPil by Ihu aiilknrt 
na>ii>it ran alnayt Iw: fi'iiioliinril Willi iMirhiinly, ('hritlintii'a " liii|-i[iilinti niitilm'" 
ban I'tiiitniall)* lirliHl im lo inaUiii'tivo lu.iriionH lit tbx xtnd.v i>f Ibf «iioii> dlatol 
rcMpinitory tr^nliini aii.l piill.*. Tbrw tuiirtioiia linm a v»ii.\' flfrorly niurl:«l ebar* 
ai^lnr. Ibn wiiitn Imtli in ii»<al ami llixrndr limnlbiiiji, U an nnllatnal iwrtlni) i* 
ntflili- Im<Iuiii>b l)in ficiial iincti'iii' anil ilii- vacn* aiir1<'ii' nnil l)ir''bTt*lian( "rrtilor," 
•lliiti<|Jli-it nil III" iijiiiiMUr aldn, tlin iiiasl nliil lh-»nric funrdiriii ilo IMil iippiinr, 
Itltili- on Klliiiolnli'iu nf tlir injiirxl xldv limy appi>iii » lii-fiire. It fi>|l<>"~> flidii Ibja 
f<X|vllBiii«l lllal »r bnvo lo itn (■■■Tr Willi riiiVHol |Mlbi<> n»il llial llir Inllliriii'n 
nlil'Ii Uio " nriiirr" r<xoti'l*ni iin l)i'< liii'ial iiiiiiU'iii i* iin| iniiiMiiJIIiMl li> It lijr tliv 
■lii'tliwl i<iilli. If (lliu wi^T" llto riMo idily lliiue ■■iriion* «lii<-ti ui<i |>ro^lii>nI rVuiii 
tlio fnoal iiiicIpu* unnld I'lvvrtil ll>i> ii'iirttixi. Aa ill>tal oniiliuiM n)mi ilu llil*. tW. 
tapulM CM) uoC jiooB lij tiM) abortiiftl wuf, «nil *u vxitlniuliou (if Um elrualt«iii 



PAN-AMridCAN MKmCAI, CONORESR. 1273 

patli in ri'i[iiir<!il. An i'\]il!iii.'itiiiii iinii-frl l';iii iiL auci' lin irivoii on llic Iianic of our 
■'•itiifiiliiiii tli;it all im]>nlsoN, U'1i[cli att'i-rt :i1l the ilinVn:tit p:irtM uf Ili>- rt's|iirii('>i'y 
iiinlOT U])|iiir;itn4 in (-niniiioii, r<^:irli tlioiii only b; tlie :i}!<'i]i'y Ufa rorirdiiiiil.hijj res- 
|iiriitiir,v I'tMitiT, whicli in pipi'irilL 11:1 tin;; to a\\ ri'Hpirutory niiiacle ceiiters. The 
ctpcriim'iifs ri'i'i'iiily niaile liy me in nssrjtintion with Mr. Anilieini, an ivcll ue thime 
liist ili-HPril"'<l jliiiil anil Miirini'scii). show that the seilt of III is i;«ii1it is the formntio 
ri'liinlaria liit.Tilis. Our cHoiIm tu ilcliiie tlii' upper bouiiilary of this rriitor were 
at lirst ii'it wliolly siiii-i'SBfiil, 1itit w<; nre now nl)lo to statu that the renter does not 
ri'aih np to tin' l;ii'ial niieleiis, InninK our stnteiiient on tile provionsly mentinned 
ri'siilt of thr Hiiiimlation imnieliatoiy ili.'tal from tlie facial iiiielenH. We see that 
IhiH sti Mini a I ion inllni'nei'Hnniy the nartal lireiilhini;, and doea not, as iloeK tlic sliinii- 
lalioii of the ri'spiratory renter, alVeet the nasal and thoraein lirpatliing nt tlie name 
linii" and in the saini^ way. We liave made C'""' proa:rfa4 Inwards |;iving the pre- 
I'irdiiiatiu); iv^piiatoiy icnliT » drfmitu placu atiioOK ubjeetive things. 



DISCUSSION. 

Pr. Reii'lierl snid that the pajier iviib one of coii-iiderahle iiiterejit to him heraiiso 
his work is a ]iraetii';il ■lenionst ration of what Dr. Ueielinrt han tUiiK'it for yciira to 
Ihi: Mtiiiienis it) the niedie;il department of tlie Univemity of Pennsylvania, i. e., that 
the varions in.ilor nerve lenliTs whiih are eimrerniid in l.ho eonipU'i coordination 
MiiiienieNls .if re^pi ration are inidonhtedly governed liy a pre-eoiirdinating (lenter. 

Dr. Dryer, disiOfsin;; rrotVsscir (iiid's ii;i]>er, said that the, hi;;hest credit was dtlo 
III Hie rroleisor for lii- "orli 00 the iiinei-v:i(ioM ol' reipiration; the formatio relii'- 
eE^iriH wjih al\v;iys I'oiisideri'cl anion;; nervn :in:itoniiHtH and pliysinloyists as a very 
ilark knot. Its conneelion, tlierelVire, as a pri'iiidin.'itin;; oent^'t of respiniticm is to 
he wcliionied very heartily. 



Af iviM \ri^\i IN MiKVPC orA"i"i:its. 

lii ^\ \i( I I U III 1 F. \ M M I'., 

I- , ..I I;- r'...-r . '" v.. . .. / ;/..- I/-..- .- • I ■.■■..,.■-,,1 I ■.,11 .... Vl.l.'.hj.,! !n if,,.,,..-,' I I'm- 

'. I .'■/.■ ■ /. ■.!. 

I'll.- . p-r I :| 'd -I I ^e 'it' re-l ill rMU pin siiiii>iiiM I 11 nil sllo.lld tir eiilnideivil « ilr-n 
r. -iiriiiii;; il-^ rui il (iineiiiirial ail ivji\ . [Iiis -.in^i' in lli.- nerve cell laii.-.t I'C i"n- 
lillil.llls i;illl|i'li--iil li\ !iii]iLe.^i.iii« nil I ill- penpJLcr.ll Tli-rve elldllt^-i .iendilllJ impulses 
"V- r liliiv-, " lii^li iiiiiPii -^-KiFi- iiri-i- in (In- e\ii-i nal « m Id, M iiliin I lie hody t'roni 

-iiiiilar rail -(■■'. .11 el a- Tin- i' -rilr nl' r;i Uolie ]iriicess.~ in ihr \ a ri 11 lis (i.ssiies. 'I'lio 

iiiiiiii.l1-' I'DiiTii'i'i iipii la ilKi'i'.; Ill' :ill ilii' tierve lelN iiiaUes i( iiriilia lili' lint no finie- 

lii.ti .if II 11 1^ iiidi'ii 'IihIi-ii] lit Liii|ii i--^iiins ;ii i-^iii'^ iinT^iile 111' 111! inn Ill-ilia to eel I 

r-iiii.-.-riiP'.l. Ii.'iii <■ leit .Mir I lUe m iiii\ ali-^nliitc j'fii-.e. A slMhilily wliidi pre\ eiits 

..i-liviti iihI-iiiimIi^T nl' •Ncihii ion I r.in-iiiillid lliriui^h :i lilier is rs^rntiai to the 
]ii>iiii:(] em II I ili-Mi i>r' iijo^r '•{ lln-^e cells, and mo^t piniiaMy uf all of I lie in. 



|\M'i,'\ \ I |ri\ III' nil! Vl'\ \ riii;i'\. 

Ci I !.■ \Mi I I V !■ M \ t I M. ]>., ..I rill. :.-ip III, 

1 1 lnii 111 ■.■II 1. ii.piMi I III ;i Inn:; I inn lli.it n lu^ii I In- j-jilanidinii- liervi' or ccr\ ieal 
^[ijii.i] r.iiiL ii II I ii.iii^'l I t,i^ ,n I i-ii.il prr-^Mii^ 1 i^i-^. I'liunu [In- il nt:iEiii>i nt I lie^e 

III- ■■ I s il ha- a I -I i-n ri-.i i^^i-d t liai tin- -.iimller ai lei ii-- nl' tlir nii---iile|-y a-, ivi-ll :h 

ii'lifj ~ p-nni I a--!, f ij.- nn !j.iiilr,il e\ jiliiii.il mil nl' I lii< ri-,e ul' I In- arlci lal pir^iiiii 
niis llii-reliiie i[aite HJitiple. Wlieu till- vohi of the blond in thu arleiii^.ns well 



1274 



PAN-AUERICAK UEDtCAt. COKOBESl 



u tint thrown from tUvTentricIc, in tnkea lato«oa»)(leTittloa, It 1* at oac* mod that 
lli**liupI«ci>Dtr>etiouof aanioof tba )>niaIli)r«lMrt4«Uii(it i<ulIlviittitlO«iplftln tlxi 
tlwof arlarlitt priui*nrn aftiu atil-iDehnlo irrllallou. It tiiu li««ii (niliill tliHl irlttiu 
tli*soT(alH tintl Judt l)ol«<r tlinltiftaiilK-lavlnii nrltiry (auil Itio fcinnral nctcij' i>twiivil 
, to prove thai tlie »rl>ifi*l preMure t* reduced to T.«rut, irrilalitin of tlie Hpluiicliuio 
iMrrTA «ALiM<4 a<l)tdd«d tim of prptxnrn in tli<> cdrutiil sTt«>r)-. Moii<ov«r, it U (nund 
Uiat witli Iho aortii open or nluocd agilHacliiiIu irriluliuD okiiMii uii Jdctow 0ovr of 
bloml Ui and from thu hniu't, thus uliowin;; ii> thiit Ibo r«»l chqmi of urtcrial prmsani 
U iliii) to aD ioi^moMid nmoiiiit uf bloud l>uio^ lliruwQ into tlin uorta. A nimlliir Tiw 
of praunre e«ii be pniduecil by iiijni'tln;; u iiiuatiCf of frr*li Mood dtlinr into IIm 
Jugular voUi or Into tli« obtoIiiI ailnry. tn a Afg of avrraKn kU* •iiliiiinhoiv Irrila* 
tlon c«u«M an luomuo of ulioiit 100 c. e. of lilnoil to bo Uiiowii iutii tlio aurta. 
TraiisfuitioD of tii« aMiia quantity fruui aiiotlier auliual caiisen nii IdeuUciil arterial 
ourvo. 

The Arat and moKt iuiiinrtiiiil Mp«rimMil li th» proof Ibnt wbcu the spluuolinl^i or 
tbc oord iairrituted tliu v^iia porta ooiiti»ota. uflcD oulllplu^-l,r umptyinK italiiiiiMi. 
That thi> la not primarily due to a cnntraotion of the ainaller u>eMiiit«rlti arteriM 
iH proved by tli« fact tbnt tlie coDtractJon of tbe vein in niC«t marked wli«i) Ibe 
prewuro lu tho abdntnlnal aorta U radoctd to i4in>. Miicoovnr, villi tlif> aurta 
opfD anil tlie vona porta olowd, It U ijiilte fsay lo ciiiim) Uie purtul pnuaure to 
«Xt««d that of llie arl«rlal by tplaiicbtjlo irritatloua. We tliercforo cooclade tbat 
tbfl riwt of uTtorial itrownr*, aftor tplaiinliuiii irritation, in diio tu gtuitt port to an 
Incrviuwil quuutity of blood beliii- tbtowu from the liearl ; this, in liiru, ia oaua«d \tj 
tile coDtracliou of the reliia, and uijW'i.-iiilly lh« vona porta and ita braixiliu. (£pt 
Arcbir. fllr Anal,, tind Physiol.. J'uyiiol, Abt., ISW,) 

In the di-nioiiilrntioti to hi* miuk- a lifjatnm staff i* appllrd to tho iiorta Jntt below 
tho origin of tliv loft niliclttviau, and oa tlie ■plaDchalc U armcil nlrli an rliTtriid*, 
Tbe porlnl voli) la lupoaoil. and aflor thi- artnry U cl«>e(l tlii< xplginrtinio U uritaled- 
'llw portal vulii wUl uoii tract and Ih<i uiIitIsI hlood piCMtiio vJII rUo, 



niDKRNATlO!! AKI> ALLIKD STATES IS AMMaLS. 



8j WKSLBE HILLS, it. A., U. D„ 
Frrffitr «r I'h^iiiAtn <" XtOW Cmirrri^. Umtnai, Cttiiada, 

III a pajior read «■> tbli aiibjaot before tho Itoyal Si>r1<'I}' of Cauoila In IfS! I made 
refemita la Uie viewa ealertalnod In rasard to the wiiilvr itlvep of a unnibor of 
aiiiniala, wbtrli will, bowcvitr, be oiutttod tnm tbia paper In oriUr to sborteD it. Kf 
awu itodiM i*«r« ooediiiitvd rhiedr oii our Amerleun nianiiot or wooiirhnrk {.irttO' 
ntyi moaar), and of tliceo 1 now give aomo aeoouut, together with dvlulln of aone 
eaau in man of bibemalton oi an alltMl Htate, «ne of tho** boinK, 1 Ihuik, mIumI 
the tnoat remarkable on record. 

Thoobjcet »f aiyliivcetlgatioaia being toaaeertatoDot only thr nature of tbevrlnlar 
I Bleep, bnt ifae character of ita variatlona under a clian;;lnji em ironnent, aaprclally 
■a mgaida tomperatiito and luelooroloEical oonditlona Kenerally. I knpt Ihi* aoiiual 
Indifferent roonaof ihebotiMwIn wbkh I dwelt •occeaalvely thtci^iicb tlie civnliire'a 
lifetime, and also lu differviil parte of an onth'iiim [n which my duga. fowh, elo., 
lived. It Would lake up too much epac* and prove rath«r wumiiome to altiuupt to 
Tvptoducu here the rrcunta wbich I havo kspt in detail. H will be both UMire 
ticable and loare pruCilatile to give [h(^ general retnllaof NtudiBsonlhiaonoapecii 
ivt the Euwt yean during wbii^b he IJTed, and then refM to tbe iinaKpv«to>l rta«!t 
llioatttdrof auotbec 4peviuicu during tbe pa«t winter. 



i 



opt t0 u 

I prao- ^H 

iciwea ^1 

i«>tof ■ 



^ 



I 



PAN-AHI^BtCAN UKDIOAL COKOUBSS. 1275 

I tblnk (lie riilluwliig life [Kirir-lH nere rvi'Diftilxalilc In tliu sjieciMifru 1 liad uutl«r 
uUwrt^tlua: (1) A period rlia»vtrriicd by ulilivr •jruwiiiim ot de*p ur profouud 
UirjKir, ImUd); (hnu about Noveiulwr la Aj'iil; (2) u |H'hoil ol' pi-rfcct wthpfgiloraa 
liiinMKliaUl) r»llo*iiig. iliiniif; wblnli tbn animnl niw diDiicktei], la poor nimt, uid 
with ■ general low viul cj)jitul. lajttinu ht suuje ri-l-Ieu; (3) a p«il<»l of improving 
eoDdlUoti.wltliKoiMl hivallbarid uileairoiuf.ft fivc^wliicli latter wiMalauiioticeulile in 
tlia pin(mliii)C porlod; (4j apiTrloil of lanximuu weight and viKor, wilh jMrfecl n>ut 
BOd an abaodaiK* uf filtj tiwUH. Bill litUu need Ii« anid atiotit any or tlii.'M Ufo 
iwriuda exoepC tbo Hrst. Duriug Iku Kcond thv Qtii»iiialion iufreowd raplilly at 
Rtat on wnking, aoil wm equally utaikcil by vunviuuft lt«ilini;, Tlio Bicjuiliig iif 
(Ilka vrlll be r«r«rriNl to later. It la jiliiin Uiat tbu orfptuiBui eutrrnd on Its lung 
jtmioAot itliiilnlsli«(l Titallly viUi a lurKtaluokof Mi«tveiu«teria],aBdltl«i><lMft)]y 
rlaat thai lUla was drawn upon U> Ike full, 

1 nnw luru to tbe puoullaritiot of tliv aleitpiiig i>r torpid i^radltloo. 1 bnv« char- 
•rt*rlx«d tbo Ur«t puriml as on« of druwaiui-M, ur »Imi|>, .ir turi>i>r, l>u(i»iiiio tlitirs aro 
■ulMlivlaiunanf thr drat i>eiiud, during which Ihn animal wnt Iniinil In a o-iii<llll(ia 
Ihal iraa cli.iiai'li-il/nl by dronuurta, and iio luurv; "Kalii, il fan ploinly imly 
altviiiiiC whilv a;:jiii it won na pmrounilly tnrpid a* It er«r brcnine. Tbe pnrloil of 
tDuat ptii[uau>l >l»vp wiM URS'nr roacbeil all of « aiKldfii, but "aa pieci-di-d by llu> 
two itatrd (vrMrcd to above. Uareovar, e« lli« dqilh of wiolcr approarlicd llin 
aln'p IxH'aaii- miire pro(oiin<l, and tba rwvnno nitb tba a|>pruiich of nptin);, nn'llial 
<•• ml||bt rftpivHUt (bodvpth of Ibcalfwp ■•> a rilling foUowiul by u fiillliii; citrra 
mlb a ralbiir looi; tlatleiiwl (op. Diitlii)- tlio ntbulu of tbo lltit porlod tk« 
Biiliiial iKKlltd In tbu alran-, with wbirb bu wua alwuy* prvridrd, and whMi bu waa 
iiieni |iiiifoandty unconai'i'KiK liitt littli- ■>!' bini could bi> wcti often, ao com )>]ct«ly 
wuM bn rovnrnl, Auolbur iBiforfaut iiiatliT, Tbe aitiouiit of food ci>iii)iitiiL>d wsa 
lUraclly pTo|wrlU>na1 In tlui dupth oIliNeltiep. Not only did he nnt In* friHiiieiilty, 
w a imaller ot ooorM, bnt the fi>iaalily tnketi nt oiio time wmt Io««. Oumiaionally 
wbnn fiill) biburualinj; lie wuiild aicnko to full aaloiip njcalti, lucn.'ly after jtallieriii( 
the atraw abuul blm a IlKle cloacr. asd not cat at all. Ilia rugo always boiiig aiip- 
jillnl with fod'l, Uuite vaa uo doubt al>out bl» abUlty to provide binuelf when ao 
liKlliml. Ilia ■■xrrcUuna wure aUu iu pra|tor(lan lo Ibu iiiuoiiat of food ooDHunicd, 
and <ui|xv-Ully to tlin duptbof Iba slenp. The lr«B bi< ntv. awl particularly (he more 
prufooii'lly beakpt, ibeltaa wureliiaevaciiatiousnhcii liv awoko. He never befoalnl 
bla lieil, but alway* left it lo void urJue and fcca. DurioK ^^o period of mem 
dniwiiiioB Ibn anliual would tie uwskcuud by n (cntle ruilllriK iif 4iiiat l(a eago, anit 
avcti when anleep n doIm would alwiiya arouM il ; bnl wbnn In n torpid cotidltiou 
It coiild nul lie tiiua atoiiwd, but kiljtbt bu bandlntl without Wing broogbl to Ibn 
•■tanJ eoBdltion, tboa|>h handlioj; and inuob Imm illwtnTbauce alwtiya caiiaod 
iiiaraaMail— a pboBiNne«i«n to bv dl»MiM«l later. 

In tlienprluKof 1^1 my woodchuc^k i-ameutitof biairiiit«valcepinaT«ry«fuaolal«d 
CMidlllott, and thia, ax UMial. increaaiux nfter bla awaketiing, he waa jn a doiibtfal 
■tale; but tile caan waa aooii (Ucidadagaiiiat tbe animal in coniici|Uanoo of my aorv- 
uit havliix lea him for aouie Uiino fully oxponcd to tbo ann'a ray*. An antopa* 
rev«aliul the fiwit tballlM'an>nial(an)a1n) waa tbeanbjert ortnlHTciiloalaoribelBOgi^ 
Uiauifb ]HM«tbly but Ibr thU oniiuaani li» xilitbt huvo taateil umiUier ,vt>ar. 

Tlitonitk the kludueaaofMr. K. P. Korko, iin UBdnrcruiluak' Iu luediiineof UcQill 
UuliOraKy, I tiacnine iioaiieaareil of IWoapr-^liiieliB of tbn i<iiirii><il in tlio Utter pjrt uf 
lbiiiqmnMr«riM|il. Oiieof tboaewaarury litrgnaBdiBUuecuiiilitifin, niidhtnnu'.iiie 
•ociu aflor arrival bo* bi-en a freqaont *ul>je«i of regret by me, aa I hoped to be able, 
not only lo oonllnun Ibn obMrratloii*, but to inak* tliem comparative, aa it waa iiiy 
Intintlirn to keop Wth niider Ibe aaoia ooiullliniin. in fnet, ia the Mno ooie^ Hat 
tbu ciirlooa part romaln« %o be told. TlioHKk I kopi lh« renalDlng voodehuek andnr 
uaetly lit* aacw oondltloaa a* the animal 1 bad ao long bad, h« did not biberuata for 
daring two winlun, (bough ha drowaeJ nod alapt anttugh. 




1276 



PAN-AIIERICAK HEDICAI. noKGRF.SS. 



Il ^nJ■ lipirn ceiii^tiilly ruB<>i'1''^'il »Ii«t ttn" Uiln^nnliiiStoiHliliAii Af niitinnlH ' 
ilvpeiulrut alnivi- all elsi- uii Ihc l«iii|irnitnr« uf llio (iirruuuiliii]; bCiikoiiIiciv. U5 
iiXperiinuulH ou b»t» s«nii«l lo uiiriiitit fliin oourl union, (Vir whpDcfflr tbo t«iu|H*r«tiir«l 
rrni'bi'il Ibc nri|;li1>(irlMHid »f l.'i-' V. (a W F., tbc otliiT ranilUlona bclne fut ■•iitblv. 
my iipnvjiiwii* l>r|[Bi> to tilticriiata. It war >Im> liiic ilinl my TrooJrlinr.k wiM iu llie 
<l(<opntt Mi-nil il<ir III); sililwiiiinr, wWii tlir culd U trmti^st. WIictlivrAliat coitM 1i« 
[tut into II stai« vl lorjior ilnriiin; «iiiiiiii«r bj fxiio^iui; it to ■ lovnri'il tcmpuatnrc I 
<1o nut Icanw. IIuw<*ver, Manliull llnll miiiiiiatneil thiti the dinriiul i)li>op of tU« b«t 
("iliiimaliim") wm pxai'tly Ui« hmiic iiIifuoidcii'id iia t1u< winter *l(vp. Tbc miiik 
wiilirr iiiaiulunpi) Ihnt biticniiilhis buta nlwttyii auoko uliun Iho tninpcnitTim r«II 
billow fti»iiri|; pitint. and bis oliJicrvtktioui oIioitriI that thn t^'iiipcratnni at th«^H 
BDUiuU WKD Blirayn n frn dpuron* nbot-n Ibut uf tho ■iirronnUinji aUniiaph<'r«,^| 
l*rnhiibly Malt in rams't in tbi> main, im my tiata whrii Ih« Innipi-intiiri'sniik ilnrinj; 
Ibn iilcbl iniiuli b«ln<r rivi-ziii^ vitrn »lwnys roiiiiil i>i>iiil in Uip mifniiii^, Wbellii-r 
tboy sirokfl lint or Him^il)- jiuxaul fiuni Itirpur Ui iWlh I iln uul hiiuw. Howori-r,, 
r«r the maroiut I cnn aworl poMllvely that thin loic iIom d<.I hulil, for freniipntly th< 
watw waa fiMind framn) in tli« apnriiueui Id wlii<'h the iniinial wu kp{>t, yet he wag' 
tuidirtarlicil. Kerortliclan, I camn In thr coiirhiHion tbut thin vxpmnro ii i>iJiiTioi> 
III a htbntnatjiiji animal, and tbiit It had ■oiiirthinic to di> with th<i poor ramlltloit I. 
whicb ray BpMiiutin wa* fonnd iii tho Kprlnx of the ynir in whipli bo died. 

H«futv di«ruw-iiij; tliv triiu iiiitiir^of l.h>- ]il>piii>iii<<iia<>f thii w|iiii>riti<op, Icallatt«ii 
Itan ■« ovrloiii tomm ot iillli'd uHtnrv. Sni-ti fi>«|ii*iit rufiTviirM aa we lind to tl: 
hilMnalloD of awallowa di-d^rvi- ntyiuf mil iiil<'r»t hill. It ■« dImii stalled thai !a IWo 
hiiul aheep bnvebi>nn c'uimd alive afti-r ti«iii;! hiirit-il fur wcGlm bi-ui'ulh thr kiiow; autl 
Dr. Fnink Millor.of IJurlinston. VI.. tupuried wbi-n a »tiiiInnt.lo [lie Socjoty for tbr 
Miidy of <%>mpiiral.ii I'Kyi'linlnjfy, nt Mnuttrnl. that Uugy l>n>l lircn rimiid alivo a|\«r, 
lirliiK flfciiinntjlly imprlnnnnd bnlow Uie mirrucR fur arvi-riil vn'kn; lonjirr tluin li 
■rniBiHl ]io*iillili> f'lr Ihoiii In kiiitItc iiiidr^r irnlliiary cli<-niiisi.iiiiyt>, mi thai ll woiili 
appeal' tb''y biiii bi'm hi a r»iidtti'iii <if hi1i(-niaiiiiii, i» *oiii<< Mich vt^ilv. 

Tariiitis t'< the hiimiiii •iitiji-rl; We hiivi> nil rniul ol' itiHi.iimit in man nf "an 
]n'tiil<il utiiinaliiin" iir " (mdi'i', " Thv- eium <if rakint iii India huvin): brvii boii 
alivv, i-xbiimvit niid T4witMiil»l"d allcr iiiiiollw in MtoaU^d by Hopb vvidMirp iui i( i 
dinieiill lin#l a>>(t<', biiMovi't hanl l« "'ri»lil. Mr. II, W. I{>iM,a Hliulcnt in nnwllcl 
at Mi'liili riiivi-nity. hiw i;alb"rr<l Ibu farta uf a poFiiliur cano in no far na Ihny a 
now nlitulnulilu. TIit' inditldiul ia i|iiesttou wua kiiooti ub "Sleepy .loe," n laniii 
by oeeiiiiiiunn. Ili> wu nnirrM and had sevcinl t'liildmn.oiieof whim, nflrl, bftil 
tlie Hamo dm way ufiirnraurp ■■ hot futhvo'. This iiidnwoiiid altrp almcul riinatanlly 
for MivemI wni-ka. iiwakimlUK. h<i«'ov<tr, to attnoil to onluro'a calin and ta (iiko AhhI. 
It« would at llnirH awakr tiiorp fully and then •i>l Ut work, wbotber it waa day tir 
nit^ht, and ahiinal inrfuaiitly labor an if to mitko up for loat time. Hv w»a ratli«r 
w«nk menially, but a)i|ip.-ir<>d aibnitivl <i( hia nWpy lendrn^ea, whlf^h Mi-med to goi 
wdfae an he Ktew iildiT. Ilv llveil to ■><• about 00 yean uf age. 

I>r. Aiift. ItobinaiMi, of An 11 aiiolis. hiu kindly £ivi>ti ibe following noieaof a Haii|ni 
enac: 

Jnbn T.. aim ntn )i<-nalv»rr, I* now nU'iit S2 y«uini aid, Whrn bo nan :JN yi><ua <if 

Ko m« lallixr riRuniitiDil unlrldn by cnliliij; bi« tbrtial In a 111 of Inannlly. Itcfimi 
t tallm'a driilb Jobu bad ■buvin i>viu|iliiiiia of nieti>ii''hiilia, )lii wonid all by iba^H 
baur Avrr blN ra[h<'r'H Koliblri't bnnrh laiiicbu'ic.ind ta1klii|C tn hiiiuu>lf and wnrkin^.^^ 
' ' ■ il' liinrj lor*, iitid iiiilut: '"to ItanioilT.iti^ lll» of^^ 



IF 

1 



hini»lf Into a fri 1 
Uaj-bier, I I'lin 
lasiHl I'uforp bit 1 



iir]i ln>iiiiry. Ix'W lonu tlil* >'o»i|iiMin ol Uiinxa 
itftnlc; but till* niurh la i-riljiin. lor tbn 1na| 



tlilrly >iari> «r more, aboul tlieeii'l ol '■n)iUiU>l>(ir rvi-rv yonr b(> falU InlO Bdi<i<|i >iin>||i^| 
nr ala|inr, and, u* bU jiirxi'iiL ■'iiiiiHtlnii U a fair ajinpln of Ihn manner In whirh bi^^B 
vlali'ra have Iwvn |inHu>i| ahxv hr WM flral atlarknl. 1 will ilforiitxi hini na I found 
blinoii VIonrlay. Ilm-inlin ll>. tlON, and r<'|iii^i|, w)i»t 1 waa told by hia I'rifndK rrgurd- 
iiiu liu ali*''k IhiMantuiun: 

Alfiiit A<ii;<i<l '11 .tn<'k wriil to l>i-d after I'allnK hla nviinint; aii-il aa nuinl. without 
•xhlhllUiit unylbliix out of 111* coniuiou In bU niaiinaT or otherwise, or £lvla| 





BUajECT IN HEALTH. 




PAS-AMKKICAN MEOICAL CONOKKSS. 



1277 



I rrAkOB Tilt lli« HiipfMHritian tliitt bu won nut of lorU ill nay wuy. On Ibi- foll<i*rlii|[ 
I Dioriiliiu lir> rIM not Ki-t ili>. lu-t tina lie nhuwn Hiiy iiiiire viUlily t-))rili iiny oIm^iIiik 
I UiiUMiiitnUtl'liiiio. lilt i>lcv|>i>i vcry-iiiicl. willmnt a^1r^ll•r[or: in<lci>il. it i* iianilm 
\ lii> l|];it ul' acliilil. Ty Wv ID rvfity tivvutv ' four hixirs hu ir> tiihuu u[>. ii p«tHiiti kiijt- 
, pnrlm^ hint on ea^h niilc, liitldii];;^ a vi's^t-l for his i'oiiS4iiiir<[j(«^ lli^ kimWH viiim^h 
I In v<i1untiinly rmpty hii lil.Hldcr 'I'liv iiritic in hii^h in v'il»i iiml siMiit in ijuiiniity. 
lAI>"ut 11 nVlock rvep' itii-lll lir i".-vni>t !■> aliuw r.illii^r iwin> liTe Iti!iii at aur uCIiaT 
I tiuia. Kiiil a<lvnnijit{o m lukrii ol' lht> to |<oiii' ii liltit' tliin iiiiliin'iil t;r>ii-i. iittnt tta, ar 
I (■■ii|> down hi* lliroal, l\r ojiuijiMj; lii-i li|>i Ui iilliii' ili"i(i in ilo so. ami Htuwly mini. 
1 tuwiaK it. Ill- only l>k>-s a very liKlv imi'li liui'. iinil if iir;;i-<l l<> l;il>(< i>K>r>' tiiiiiily 
1 lovlM Ilia luoathsll lit. AIkiiiI oikji- iiirviMj' tliiily •l.i)9.Q'ilrvii<'lly uliv^-olur iiitrtaU, 
■Han IIS 111* oroDiiiG itviiirilly. Ilir futtiily will li"atii {••'ciilinTrli.atii'riiis i>ti>-w, Tbi'y 
ril>>vi>r lako kuy mitice or it, for llii-i bliOH' il i* ,I»rL ifolli): iliivrii |4> I In- vtilli>»ino l» 

MUlil) ilia liotteJN. lie tlirti [Utiiiiin (ii lii't 1>«trl iiiid hI«*]m. He known «iiuli);li la 

tlin-o * <inilt uvvr liin nIiuuIiIuch itt hiiiIi tiiiM». 
I At ilie lime of luy visit 1 f'"iii<l li^> ftiiwrntiiTo !)G ' K.; i>iiI»k CO, rviitiTar. lliuiiKb 
I ixil ilrDU);: reijiimtiuii* II. cHoy hikI ')II>>:I; Hkliirtinl. A |ii>i •Imk ilil-> liii mm 
' ciiiiHiil ii« iippamit eliiii;:^'. ''ikI Ii<> iiiiulit Ifi.' jiLiiolioil iiiilil liluvk iiriil l)lii« nitliuut 
' jia fniisin)* hiiu Ibo nli^lili-Ht ilur^kiiipH-. 

I My lirsl viiiil li>.lu«k wiis alioiil liroiilr rwunajpa, wheti I flrtt (iniMO tolfr* aod 
Ijirai-lifo in Ifai* ririiiity. anil il csm" alioiit In tllU wuy, Ct( r'ninti- llirr« wii^a IaIIc 
IkIiouI tbi> tiBW iliHrlcir ami what hi' <(>iilil •l>-. «o 1 wii* <'b1I"iI i'- ■•'•■ (Ii>n •|ui-oi' i.m*. 

I I cot all Ifae paltiualure Crmri Ihi- ftlvfxU mitl tie I ^Ii linn, »ii<l h lint iiiimiis tiuil li«i>n 
|Iiii-<l l>y other itortiin. aivl llii'ti I pr.>ini>i->1 l» ti v nlint I I'oiilit il«, <>ii ilii- fiilinw- 
Ilii); day I wenl ajcnin. .ti •'<iiiit>:iiii<-il l>y tiiy liii>i)i«r. iiIhh h ]>Ii^i>ii'Iiiii. \Vv look wilti 
In* UKiiixl calvjiili' liallriy. <>nv <•( the h^iiiiltMnaii |iIhi-<<i1 hi nach hiiiiit aii'l Imdnil 
Icliw-ly tu lilt' Itiiu^i" villi n><t liBiiiliifii'H, Wi> ttini ]iiil oit I lie I'lill iiowi'rof llir iii>trii> 
I'liinnC. I'oor olil Jank noH oiil »( Im'i! in mi iimUint, aud 1 iliall fii'irr foiiift. hiH Iimk 
mot uH lull i>)h meal siul linirur an hv yrll<-<] u'lt, " Diitiiti.itioii. Htint'> iluktf " I tmii 
latMi wvll i^'iiwiiilMir my own f<Tlu>K« i.r •ntl'.Ui-ilou ami pi.m[il(n-.'in' v "hi-ii iliu 
[.nalivoa niB);ratiiliiU>il iiii< oil my tiir^nia In llil*. my flrat r«M>. I wslki-il off ita if 
L Kuyiiij; to oiyarlr, " I kurw 1 ronlil ilo 1 1." Well, .lai^k Triiiuitintl annkK iilioiil tkri^u 
kdayn a»it llivn 1 utii » mi^H^it^'' I'liit my |>iill<'ul nut utt niialii. I waiil iii* mnl Iriud 
Itliti hnilcry n M«>ti>l limi'. with only tlu< i-flrvl, hiiwpvrr. ul' makliiic liiiu onrii hi* 
l|>yn> lUi'l K''""' "'<t " ''■!'■" 'li A <|Ui'ritloijii uiannrr, iiml nfli-r lookinjc alioul him fur A 
|1i,il( hoix ot •». Il" lii|iHiil iiiti> hi> li'imi-[ I'onilition. N'ovt (l>iy I ni;iilD tfiiul Iho 
MiallTy, lint ullki>itt tlir ikli|Ehli»t rld'Ct. ••> I K>*^>- 't il|> lu ii biii'l ra«-. 

I llil* U all I liiivv l» nuy aliont tliia ^Ihki'I"! o)'jt*vt. I'^i-itjit Ibiil, of uumimi, ki' 
ptifi-»fMra Trry thiu atiil liauifiiiit Iwliirn )ii> roiitTi* Aiiatly in lli<^ oiirin);, nml hn 'lunt 

* I . wnkrii ntilll ltii> riiit III' Miiv or lir<t of,! □□<-■. IliiTiiii; lln- mmiiii'-i nioiilliN 

••Iiu-lly tho wolk llr i» mill to ilo, Ulit il" imint liu told nvw ii|;.iiii rviry 
L 1. . . ■ ■ 1-11 1 ill', if iti'iiri'it I" ••una till' cuwi li-oin pjintiiri-, lii" will ilo ».•, Iiiil will 

Lnol I' iiiilll tolil to, iKit will liKlilrn tlit'iii allirlil iit;iiJn witliiiut Ikmiik ili-drtuj. 

nir !■ . Ill lo know wbiil lo du m-nt. ovi-n tlinusb tbi-suinL- ruiiliui- in lurrivd 

r<' ''*>'■ An ii^ftijition. hontrvcr. miist li« iiinili" in on? ri'ippfl, llr dniw not 

It ' Iw told wlicD liiunct or (ra tiinu urriri-a, iind in bli-nnml w:Ui nn i^inilloiil 

HHeiM". ,lii<'k ill uIhbi* r<-a<l.i' lor hi" foiiil, nii'l is not gmrlicnlur uttmit ijiinliiy. no 
^HB(|nnnli(v la (Iwtv. lli- will t.ilk ijiiiti- ratiKimlly on nny niil'ii-rt wlit-ii ■iiitCvn 
BVBul muilivlH iliatinilly iiiuut uf llii- i'ltiilriil- of hiH cliiMhooil. H<< will hold 
KnllHiili'>l niul'ati wilb Ihn eown, di>|p<, tn-ci, wliirrlliiinow, or iiny ollitii •ibici't whl«li 
Bi>)i)i<-«a III liii in hia way, and nmy hi' nolittil HoiiiriiiuM Ici'liiriiii; u lii'u for tHimt 
hiuv, l(it .ikinit uiit lu'i-iiitiiHiully luto n|>iwiiiDiiii lila of Uiiehlw, 

I WlHin >l>iiilaii in l>tl'<l, l>r. C. K. Cliirkp, •iiiiiiioivndriil uf 111* Anyliiiii for Inniiiin 
■III Klliital'iu. hi- hii|i|H'uiNl to ititiki' ri'fpriiHw Inn ]'i't-nl<itr indlviiluul kiiowii t»s few 
■u '*ibi' ali-i-jilnK woiiinu." It III oiiiy oi<i.<iiriT.t tu nif Ihal tinr nwc nimlil |>iovo i> 
htiiily uf itrrai laltii- If it nmlil bx I'.airird mil, mid I aiiicici>''l"d tu Dr. rtatkii tlial 
Kbonntltvifw lo *iijijiliiitiui>l tiiah fai:li> aa wnMiiild Iruiaaml auoh nbaorvaliuii* na w« 
kfitv alili* lo iitakv by a Julnt vlUI to IW anhjrol of llila jini-nllar luiailitioii l>y a 
batwfiil Klndy nf tlim ntM. Hh •iiunorilnl miirb lioyoiiil ray vxpiw tat torn in diiiiiK 
lUiU, aiul liaa [ttibllHltml iko r*«iulbi at lili luiualitEallniia In ilw Anirnoan Jonmul at 
Flnaaiilty fur (iTKthor, ll«*l. uiiiler llio tllk, "A rmrm of lutlinrm-y," and froiu lliat 
I |ia|>*T I •iiraut tlx) |irhi(ii|>a) fai'la in rrgaril In tliia vaee, whicli it v> rvmurkikliUi 
tll»l It way h" »ell lo iliile llinoi lOinuwIiHl fnlly, 

AoTarmI aitaaiuia >t(*i I lii>aril Ihnl llKTn< waa a paiiant wlio hail b««n ht a traaen fnr 
yMra, aad f^im iimii to iiqil' word una l>ii>iisbl t» tbixrfTMt thai tlio iMinditlnn ndll 
p«nMMl, mhI tbutiill iiifoiu totvnaB thu wouiaa werawitliout HMUlt. A UtUu luim 



12S0 



PAX-AM ERICAS UKDrCAL CONGRESS. 



Uiglit niihlouitnily iiiovrd; tcfl rijfhl. PnlolUr ti-flvxiMitlKietil. Tirhliti^ IImwiIm 

III tliu Iri't <U>I n»t •'iMiKM iiii.v eviili'itm ui' iu-i>i>ll>iliiy. ¥.a- 1i «<:i4 <lr>i<rii 

Uti'iir <!«■ hixumil l"c, IIiIh c>>ii<lllh>ii brini; r«[..-i'iiill) iii;irl;i"l :i ot. WIhii 

(lir. . .1 - ,if til,, tfi't vieiv (II kti-<l It " ■:• •': "L'lil [bur llir r. -11,.,. ...I i- •.H^'lttty 

I I ' litil (III iic'iiiiiil I.I' ihf II of tli» III nil li tit j; li I nil tu 

I i!i ■ i:i' llii* |">iiit, ami il Wii* .■!■ I- i;t!r4'li|p<l. I*«tl<-lir« !■ i;. ( ftnlU 

h<-ullli,v aii'l IKit nl-iioimiillv liiitllis I'iuukI trllrxi^ Ivllri llinil ivlli k'-n tti Uliy. 
iilhrr (iiiii itl' It.- Um1>. (itliii'iiti.i ii-(li-vr* ititil pvi-ii Willi mr; nl llii' naiiHi ilitH< U 
n.lH ll»t|i-i'il tllnl lli<'> nuwlilii: ovrl' Hip flii'fi <iiil li<il I'^iiU' ll>r tvllrtirK, r»)'llli 
riciioliBivr ill lit: III. Sill J 11 li<->|Hiri« loiiiiil "ii Iii|i- iitiil pt Mlfiii'p I't roiiiiir ilfwji- 
M4[i*<l Si'<|t<'>ri-ii )i1iiiiily \Uil>lt<. VVIiiU »« nrir. |i[|.i«'iii iIip tl>ii>« i-ikIihiiiioI In 
ll(iMIM> |.bi< t'llMiul mill (id'it li> KCl hi'i li> lul^'' i>"liiii IihmI. .\ |>tiili4l tt,i*iii»i|« 
(wIiIbIhx). i}iu liHlirtit vrliiliHl lor u frn- inuiiii'iila. nii>l (ticii iiitiit nil li> H|rT't> ll];>>lli. 
l(r«iil wsh ]iiil In tiKT moiitli, lull n>iiiitliMMl lli«n> uitliuut luiy ^Jl'tirt briiiK itiiiOii lii 
•witlluw. 

Oil Oi-toljcr I», llftW, tlir pstl«-tit iMnii- ciFiili-r l>t. t'l»rli.i-'»rai*. and n wrtni of 
ubvi'iviillutiK •■{ tli-i tiiirtC <»iii]i1ii1c rliLiiAi'tci v,'n> ni.idr. 'Iti" ]iiili<<iit, ii tliiii uld 
vroiniiii, ii|>|>-ir'-iill> ii»l w--i|-liiii;: iiiori- lliuii •■(> jimiTKU, wim < ncriv-l iiitu llu- iiillim- 
•ly IliMii lljo iiaitiuIiiltiiMiiiil [iliu'cvl ill }ii-'t. Slic nni Kik-i-ji mill iliti iiotMmi ilU- 
lurhwl by IhrJullluK lo wliirli •lir bml lii-eiimlli(i;i-t»l. Hif li*iii]ictiililii' inv'Jl.'^, 

1>ii|iii> 1(1", mill rripiralioim ^'. EfliiK* wi-ro iiil»i1,t to stoiKi- Lirr. Imt willnmt iivall, 
'iii^iiilt (.tiiiiil lluii -!u- liiiil Wi-ii ill )i«[ iitrfti'iit •Inio of liiliLirsy lor miirii litnu 
rli-vm yn«t». lUr nji-* in-tr Iiiiirdmrsl, iiii'l il «a» loiiiiil ilmiist iiiiiiCH-tiMn In )ift 
lirt I" hibUok iiii.vtiiiiii:. Next niuniini; liri tcmiiTtniiirr mm jibiiiii iioniiiil ; |>iiU«> 
1 17, rmpiritiiiii IN; utill ii»li-fji Tritb tlm *ytf buff cl"«nl. ua ibo rtiniiinr'l iitsirly 
till' wkob- liiiii- kIic lived. 

t^hv u-iid uDdrr (ibiicrvaliaii from UetoliDr, IHIN). anlit Kebniary, tWI, wlim aka 
■lltd. Ill Om>L> I'unr nimilhii abe nim cIikmOx u'lili'hcil nti<l iiutil llie Ijal wnk of 
lldt lifr Kiivc> liltk iiiiliiiilii-ti lb at nbtbivl lliv slij^btril knonrlril^r uf tbi> riii-l lliiil 
nb'- livcO. Sbe wmibl ii-Fiiniii in iiiiy )iiMilii>ii in wbicb nIic wj* |>biri<il in boil, ami 
il' Hot, fiiil woiilil UDiloiibtrtll.V li»v>r ilitMl nilbuiit uiakiui; AOy i<i|;ii lb>t ubi- it.-C|iiititil 
nr iloirFil fuiitl. Itvr Iviii|ii^tii|iiTB Ttaa uliii<.at iiiTiiiiulily xntiDiiniiiil, •'■■■■■tiiiim 
rul'ilig to Wi '. nltbitiiitb oF-^jiMutially it iiuiibl riw tn iifurly \(fj-. wilbunt iiiiy I'liiinu 
tbiit Tuiilil li' ■tvtT'iiiiitiHil. Her ■]>j>i'lilt' wan i.-ii|iri<'ii»iB. dllbuut(b sbc uuilu'ibli-illy 
bail <tc-;i<l<.-'l like* iiii<] ilistlkr* in r<';;(ir<l In fuo'l, 8tii' |>i-'fi7ir(<il bci'T niiil pi-liil>n4i 
lu iiuylbinjiplBf. Tbv |iiiii"p<h of ('utiiif* viis i«t; hIhh , iiiul iiii(iii.'limn il iri>ii|ii |>o 
iiiorv- tbuii mi tii>iiT licl'i>n< tbr i'i>iibl liiiinh M imal. Wbrii 4b<' ilin'ik aiiylbiii^ iiiilk 
waa (■viilitriily jiri'IiTivil. >b« wiM vrr; I'luiiii iu tirr iiufiniiul liiibil'i, iitui ni-viir 
(wiluil tlic bi-il. Tbi> iiiijiility ur iiiiiM [iiiwil viuv vviy nmull, n»l Bvi-rM;*!!!!; iimia 
til mi ixii'ii^vviitb ••■' iKiiiMiil, The liowiila iiti»til Niil v btiriii, —•inrl iiik'B Duly hum- ill 
niv ■>! ni-ivii ilHys. Il *a* j-im-JUli' In rimhe Wr I'-ir ■■% nioiiKdl ur b<-, Ik tlu' I'xtciil iif 
uiiikiiii; h-T ii]>i<ii luT v>i». bill t-i'iuuil tbin alii' woiilil i:ivi> no lu<1i(iiilit>ii >>r ■-••i). 
(iiii<-i>Mii>'>*. ami w«iil tv •lc>-|i n^uiu imiiicilialclv. Il<ir li'u^ Hrrc nejiilx dli<.iv>> 
rliiiwri U)', ulthiiiiub wbi'li IIk' |M(ii<iit una ailpiitli-il il Whh stiih-il tb«t f<lu< iiln u\ i 
Htiiiii:hli'iicil iit-r Ufia ut Dijilil. Her f<>iit nvtw aliaont inriiii.ibl) very ■'••Muinl tlw 
biiiiili "'ini'l imi" Ki. <>i'i's>li>iiiitlv li<ir cyrliiU nutiM tn'inbli' ami i|>iivvr, tiial m 
Uii') will ill Ik iiiitlnit kill' 'I :- . '.' i- Opiioriitty n li ' ' ' >' -.<-<IhIi« 

\^'ir]il«l fiiT II lovr iii<-rii<iiir-<< ' n.; |i|iiLi'><t. 'I"" 'in vtaa 

ijuli'l, iilluii-l <l>j||(likr. II I 1 imlaiH'i'", liiil •■ ii ii.ili-i- 

■(■•inic ''\.-iliilli'itli>iiaO rvjifv-iuii HiiifunativiMil |>alii Hinilil a)>|>i'Uil ■( lb» *uiiH' liliH> 
R ia •|ii<i>lii>iiit>l<' ir |>!iiii wn« r<'ilh •■\i"'ri'r><-dt, s« tbn lir>>il itiiil Irh|>jialiuli*<ll4l 
iii>l nbiiw lliri b' I - : > ' ' ' ' iirit uf fiHfil Itii' «iii4i mi fiiill n'aH rOI>- 

•.iiiii'vl in u ila> ^t|i)>^lk1i* u'ii4 '<>(ii|ilrlrt\ Ki*t, S«im}- 

linira » lirii kii.] ; ,-i ,. ■< .. -,,. , -l.i-l npt>i>--' ' ■• '• ' i, ■.■-!- v--...;,! 

tii'inbbi, TriiiiiHl Koran NnUiirii)], n|ii> maa itllb lii-r '. i-i 

Uiltik llial tbrr<- vii-Ti> tiuiCH U'bnii ■tin i>a« uriiiir ii -'i-u I i m 

lit oIImth mill M lliln Hlatniiriil wbi iilari iuii<]<i l>) in i i i<ut—-n, |i<"-ibly tl it 

iiMrwel. 4^>r«>a>.b>ii.)Ily nhn nimbi |iiii>ti ilouu tba bi'j i i ' - n lib lipl IiuikIfi am) tllo 
ItUt'iFv »l tti<'i Ml' WDiilil Ki>lo ■liDW Ibnl br«r)'V(ivi>rii>u> n< !•■ i>ln'iiya(ib|i'rli(>iii>bli>. 
NiMil I '"i I'l I I [.IV nbii Will. )>iii|>|i«>t 11)1 ill II rbnlT (at liitir an liviir. ililn ill<l not mi«iii 
Iu Im.' i;.y tiloi'l uii bi-r K""'''*"'! ivniilllii.n. 

'I'll" K'vrmul »r bi-T la>I (lay* iim iiiti'iMlitif:. Kiiily in Fcbinury, \Ki\. n iiiurhMl 

I'liaQK" liiok iil.irn in (bn i>:tticnl'i cmitltimi, T>)uiTk-<n itiiti'ldiiml. iiinl Ibn wnlnuil 

nan I't iitniitly siill'' rinK |>.>ilt. <>ii (be Itb iif I'libniiil v nbc wiiii iiiiibmbtially nwnki>, 

mill in the fiYciiiiiK f<|>»ki- in a hmrMi v>bi>|<(i( axkliiu iiir ii >»iiit itiliik. TliU w>* tli* 

iJli«><Ii<l liui'' *ln^ It'Ail I'jiokcn in tblrtcon J^^arn. (*iit* '' i'" .-f'.^*' 'ini- 

hr) a;; II ill iinkril l.rV ii ilririk. \hU'DinI (ii'lri\ iiTiii t'ril ril 

n>A'> ii;:niii iiwiiki.. f<.ii b- rii-ir III iiti nwkwiiiil uiiy, LI . , ' .: i Hi 

a iial;ir.il iiiii(ini.-t. I H-nl lur bi-t IriimU, iiml tlipyrmlciouttxl Uiki:! bn tn hiku imlica 
uf tlifliii, bui Abe (lid tiul ■PVLSU' Iu kuuu ibcdi. ami went li> >ln<|i lU nsiial. 'Ilie 
trained nniMr's imIm for Um u*ut few da)* mv *■ (oIIown; ^m 



PAN-AUEKICAX MEDICAC CON(iKEK& 



12S1 



IDUfwdry <!.— Will f<p«d IiPTcelf witb brr«>lor i>a;(liiDi;flTV. tlnn<l»li*I(M too much 
io lue H cap or t]wiin. Will unk fi>i uoytliiug she wnutu, bat will not BpMik at anjr 
nUiM tiWB. Always n«yt hiT t<-fl li.iliil. 

tibriHiTfi r.— 1 wrm I'lilk-d in about 4 A. M.. ttuii foiinti IiPt lyiiic on i.lm lldor! *b« 
wi.iiM not »jn-.ik, l>ut from nit [iiJi>riiroui:i-»iio oiip liail l(nn-li*iil li('r:*)iL-|-in(litvlil<iiilIy 
Itiilii'fi out <if Wfl hriai-]t. At fi;») A. 1!. nhc »ii» colil mid v.-ry pah; atioiit j 
nitouii iiitDutfi liilt't lii:r f.icp irui Hiinlinl and inuiAt. Iiody wiirni. liaQiU. knaM, Aiiit J 
ft-el roM. 'I'liia somi pn-Mcd (iff, l•^avilIH liiT ia lier fomirr ciiuilitiiin. 'IViupomCiirtiJ 
WBfl !)6.4^ lunrr lliun ut K oVlock. HiIh uncrnomi uked for a ■our drink nnd n lilj;; I 
cak& Kiwku litirtivilly, but 'itiile loudly atid diitincllr. Kimcd Ih«> iiiinin CwU-af 
Vrlien Mknt li> ili> hi. 

frhrua'g 0. — tla« uot l-i'^n wvll nt ull to-dny. Monuud wh«n dinCiirlicd. nun 
«nton M«rc*ly auytliiiie, but bus tiikvu more lailk tbuii luiiaL titu Iiiul ftlt)(bt 
diuirliKt hinle Isit Tucdila) ; w.inio lo diiy. 

rrAmury //.— Askfil rre"jiitftilly tax ilriiika to-da.v, and lail nisbt ■aiil her Ibront 
wu* biiTitiiip;. I'l-u [Mil a)>|ivnt In roco^niio any of b«r fripiiiU nor to reiilizn tbal 
the U nnxmu ntraoiiiilH, ><n loiin; lit b«r muits uru nlttiiilcil to Rho iceni!i quito 
uuiiintc liriis uf iiiiv tliitii; v\xv; iidt evarllx iiiicoiuciuiis citlicr; but l» th<iilgll (ho 
look iiQ iiitcii-'Sl ill nbiii wriii oil iiriititid bcr, 

t'rtmarii t !, — Ib lii-tlcr Ibi^ iiioiiiiii);; bail do diairbra diiTinu tbo iiiubt. ttii* 
nokrd Uiti'i' Cimiw fi>r Miniutbiug to tat, ivbieb Muimda like lUHal, lint wbmi 1 got it 
fur brf hImi will not i-at it. 

i'rlmarg /J.— Diurhoa nxicli worvo lei-liny. 

fttrimi-y /,!.— ixianhna aonu'nbitt. bvtli'r. 

Oil Ibo lUtli all* WM slij^tilly botlur, iitid »«k«d for beur uiid cocua, and kniil abe 
frit iM If abe wvnr biiniiaK u|). Trout tbis iltuv hIm* atMulily gr^w nurse, uiid di«d 
ou tbr :»ih. 

l>r. Kaitiin. pioMuir i>rrb^inix(ry. Mnillll L'uitcrvlly. tiindv t-bibiirnte uunlyaua uf 
millv Kill t<i Minilrcal Iii'in (iiiii- to liitip. nnd williont •.•IfisriliK "nv ilvi^lilfid alal«> 
Manl hen; 1 niiiy «tiy tbat tlia ||n«cial CDiivliMiinia atrlvad nt viori< an fiillnwa: Tba 
«bi>lu ui ibi' iiiiup pnaaed Id nx daya w«a actit, anil bo aaya tli« tukil aniDnnl, if 
rop>na«nlii>K >''i d>ya' luino, la ulioiit aii«*aovpnih t1i« noininl, TbI* couluina all 
coiiitltnrnt'. in n'lout iioruinl (|nnntltica in relation ti> llio toIuiiiii i>r tb* urin«, 
oxc«)>t tbo (ibiiapbtirl': acid, wliu-b la about (in»-tbkn) wbat it »lion|d b». 

AtmirsT. J 

/nin^(« MitirrfH. — Niitiitlun (luiiri body luiiob nmnclnli^d: ftfipninnt anti iWi to TA; 
»rJi:bl abulil lil); rlsor imidla ooinjitiitir. Aiir« mnitoin Ht-tininic ou baud* and feol; 
[•iwt luiKiMn ■liiiniiii; un bui^k ul' Irnnk : boiUoToa on aacruin, li|>. and lukU of x''ra( 
Ice; fc*l iind auklcardnniiluiia; lnj{> llcxoil un tUi)(bi> by (OiiIiiictiHl IiMiduni; di> 
ti-i'lb, and Jbwi iun>:b ulixirlhnl. 

Sfetio nulartit, — Hind: S<:til|i tbin and eaally diaixiotL-d: I'nivariiim of nvcniKn 
lb i>' k iKnii : tabtw tbin. linnrtrr. diplori bitlUK in ■-■xi'i'id: dnnt niaCfr not adbi-ivut 
to tbi' akull. iilicblly njiu'iiiT' M vrrlnx; oim K]i;;bt itdbnion to brain nt miirsio of 
IvnitiliidinHl hxiurd; iiiil«-ni«r(pui clnu In ii>ii){itiidiiiiil uiid liileinl linn.iiTS, tbu olota 
In tb» Utiriil •inuao bclni: |>ar(icnliiily Wdll orsaniiod. 

Iliiiln: 'I'lii^ brain wi>i|; bill about :!>'■ oaDcei; mftctoacoploally. it wm biiillby in 

Mli<-Hti>n<« ; in fact ill ktylani ox|-rrii:iic>n I bare nevtir ■etm ui bcaltby a brjin io 

' tto |HMt niorlcn room. Cotivolniiirn* wi-l) inarki'd aud sulri di'cp: Kr.iv uijitfir 

nnnduiil: bnilii «ii1wtan«« linn; vrnliirkfl fire frum eviikucvut iliioudi'; biainuut 

MCaniliti-d niirtoscopirallv. 

Tbontx: linbitunial adboaiona. EmpbyaMoa of ««tlul»r tidauo bon«atb atoniiliii; 
.Mnllucu (I'd uMillud. 

r^Ui-atl: Suiall: u>.-ii;bt,31 autiv». I'l-ricanlial Uiiid iii avctiis^ iianDlily ; blood lu 
tfrtial TPins, and ni;bi auricle fluid; walls uf riKbt nnrii^le aud vootricli! uunannlly 
lliili; TalToanoniJah Btnall poctaaottciin clot in left Trnlrirlv; wnlliof loft TCDUkM 
bypi'rlraphi«li Irll nnrivle noniial; valveaof left sidu tn'riiial. 

Aotlai Asi'i-iiding noriii diliitoit into n I'liitifuim uiiciititui ; vnpn-ity atiuul twtc« < 
Ibat ul DiMiBiili artriial cuiita nut (bilinct tbau ucirtiuli uu vviik-iir(> uf albvrufDa:-! 
nil ' ! [iuiiw<il; vurii^iMc tt'in>t uti [Kivlerior wallsuf tbu beart; abdiiuiianl ' 

B"i in: uulFEiMiitriii I'luli in abnndanm). 

i. ., I - . >i<iy udbprciit at iijirx ; small a(lb«tiii>ua nil iiv«t anrtaceof luam 
Bjwi. a niusa ul lulmrlu; in fad, (alMrclca •nvn foniid avnttciiM tbriiii^li'iiil tli« 
wbulu Inniin, and in Ibn aiwi a ainall cavity Mitlwl; bypostatii? cungcBtiiiii iiinrkoil. 
lii-fl. in tbi* 1o>i^ a ri'itiiiu ainouul uf byiKututic congeatioii wm apiitiraiit, luid an 
nvpostimal tnlvri'la wim fnnml ; olborwiau Ibu Inug waa numal; cord-liko adboalona 
orplniira on surfii'a. 

Abil'iBii-n: Livrr adbrr<-iil t« rbrni milli ind diaidiiain; v>b»I<< rujiaiilii lorr iilf In, 
takini; iiBl and rviuaiiml atlavbod Iw liisphragm and abdnmhial wall; woigbt, *Ji) 

8. lix. yu — 81 



1282 



PAK-AMERICAN MEDICAL CONOBBSS. 



mincM; <bK« ir*rli<«il fiirruwH itrueui on kulvrior »att»e» of riicht lol)«; tlitiw Air- 
mw* wure itboiil3iaclii.'N in leii);lli; uoii(oroii«(1lKtluvtly iiiarUvd; tiuuiii'm'coniliUoti 

Muiiiwhr l.iirj!.«; nbiiiit 'J iii«lit<* from pjrlnrlr orKlri' wiwft coiix til ■'(•-<( imHioii. 
Thii cutiilitioii niiH iiii<li>'i1ili'>Jl}: liul tllO tFHiill o( hii.V iiilt»iiini;tiury action, but thn 
naiiiral sliupu ul' tlui «l<>macli, giving liao W an n|i|iiMr:uiijn «ns)[<M<UTt> uf n rudl- 

IiiimUui<«: Siiitill: fit'i<lniir.ii* of nn old pcrlionltU; oOliRaioun evdrj-wboriR ; tlutr* 

I iHistv HKtcntl rniiHli'ii'I'iI l>i>itlonil rroiii II to li ilir.liDn Ions; i" "" Plui-'o x'llH tlifin eiim- 
I |ilcto <>trii't>ii<-. uiiil HI) in'ikiM wfirr [irmriit; itbovo tlii con.iiiiviitil {lortioii* tlin tnu*- 
' liiio wiia iiiui'li <liiil«ti<liHl. 

Onim: WiillH iiiiirli tliicknui'il ami mucli vcnoiiii aoD)[utiDii ; itiUM xirfaGciUik 
r«il. Hiiil ■••iiKhi-iii'") ; liHil n)>piinmiicc of uiiniL-niuii viiriviiM) veiut tu tvnll. 

Aiicciiili'it: •■■'Ion: Om- piiitioii cinistrictcil, ami part jititeiiiiiu dtliitod ; traiiiivcrMs 
colxn, iioiiiml: dfo-'cndiiic, oliglitly ilUulnl. 

lililiirv*: lllfflit, Trr>- imiiiU, about SJ hiclicx loii|,'i ii|i|<ari-Tilly tioniinl; Ii-rt, uboitt 
Bii Inch 1i>ii>:<'T Ihuii riiilit; ii|>|iiiroiitly normal; eupsiik"' ni>n iiilliviviil. 

Vi'n mny •niii tip tliu cnnt- by Rkjiug lliul in tli« BtLliji-ut iiikIvi curjsiiliiniticrn we 
linve n iroinnii inlicritiiig froiu pitnMitit uri inloiiK^ly ii(<uiiiti''ort;iiiii'i>tioii, In iviuiitF' 
qiinnco ol'uflilch itic sliuirvil iriiiny iiiilJiMtii'n* ul :in ill-liuNincutl unil niiNl.-tlilo nature 
vtiluiiiiHtiiiti in viirloim vii.il niai-o. iiiul inline poriod»ol dliipoi'. In fiivl. tliiw vromin 
•Muun to liuTr uppiil iKinrlv uiip-lliint of liur wIiol«piitetFiii'i.' in uu iiti'^'iii'CiiiUft cnudi- 
tioD. boitiE tlirn ii piiti'lT vi'tEuIaliii.' orKDniaiii. At nil* pvt'iod of li«r llfu ftlif iiriia a 
verjlatile Rip Van WhiKlo, hiuilly »iiikiM|: inlo ii Imii: Irihiirvy Tioin Htiirb tlinrc 
wan only » iiiivt Kovni'uniMitttg prioT lo tliv Itiiul Altipp.iuK of tlio vitul uiMilnvulnin. 
llut it in to b« iiultnl (bi» riitiftiiH conitlliott wti4 uul lli" iriiiiU of any tcra** loilon of 
tbc lirain, but i>f lii'lilitn niolwnlar pi'i'iilliitilii>», wlilcji rin.rli'rK tlm Vnno to my nilnd 
nil thn iiiuro liistrii«tli « wlini r>iiiiili)rti-i1 in oinni-clioii with all lliiian ulnlfl* I nni 
BOW cuaalilMiDK. 

U. 

I pro|i<>M uow to dlacoM tlin rval nularn of hlb<iniatloii aud klndrod maiiM. 
I In tli» )inpvr on Miiiiltrnlt, mad lioFuK tlio Etoj-a) 8oi-lcty uf Caiiudn In lt*37, I **Ul, 
Bpunking of Ulbiirnalioii : 

1 Iliiulf it i* vury |irubnblp Ibat, wlieii lli« matter Iiiu b*isu fully inVMtii-ntviI, all 
, dui;i«w of (tewalldii of ruui'tiunul ^irtlriiy will bv fouud lejiTvaeiitwl, from tk»dul]jr 
rltnrmal st«t>p of mini nml otlict uuiiunl«, to llio loniuil do^uu of activity cunautMIt 
"villi Qiv U''tiiiil inaltilrniincu vt Mvt. 

A* a uiHtlvt lit fnct thl* is tlie oouoluhiuu toward wbivh all tay iDventigatiuuB ntnco 

, UiaC Liiii6 hiivw lutidcd. Thiiii;:li iiom« uiaiutain tbut in true litbi-rniiliou Iliere ia 

noMaulitiu of rMpinlion, it would ba liunl to prove tliU; for, na Hall sUuwui), llie 

' Olrc'iilulJoii cuiittuUM mid (be very Itvating of thn b«s>r( U{;tiin«t llio lotit;i iIUpIuvM 

■ ceitaiii auuuiit of uir, aud iu Buy ovcut we run not leave out of nniouut dtll'naiMi 

of gnMw whiab iu ull oaavaor aniniulii witb liiugn playii an cMUDtiul part in tb« pru- 

oeoof rMpimtioii. It uonM tie iut«icfittng tu know the condition of the heail in a 

LMberiiatiu); froi; itr tnrtlH, but iu mivh omit iiTci t be akin, ua alio probably luMiAkw, 

na« a rcipiriituiy luiiriiou. Liv« frojc^ will utay fur bouia ac tli« boltoin of a laali 

In wjuter piovidod fmli wutcr ia flowing ovrr tboni c<in»tiinlly. In fact, winter 

ingt h'l't unilM tbo«« eonditioo* Raplto laijtvly by tbo akin. »o Tar m tb« tial la 

L oour>«riicd it !■ illfflcult to obiorvn any lotplcntory niorriMiuit*, but in tlin woud- 

Feburk I nuTur fail to uuticu tliuni at oiw»l<lcT»blci hitvnalii, any unco iii tivu to nin» 

rmluutOT', urou wbau hlbMualiUf most profoundly. Tli« rutpirnliimii wrru pounliar. 

iHonatiiniMi au« Atep tnaplistiun, previ'ded by a «u<ld»u relaxation of tbo cularjwl 

UhMti would bo Mic«*«<l«il by a long pouao; agaiu, tbore would bo a MtIm uf T«ry 

r«1i|[Lt ra*|iiratary muvuBii-nl*. li wan alwaya jioMibU by tbu rvapiratioiu nlowi ta 

predict wlien tbe anlnial woa approaching the waking Htato. TIm awukouiiiit vtn* 

Barer unddMi, bat gradnul. ofWti extending over houn. I bavo »pen Mitnntliinjt liha 

thin. Ihoii|;li IfBs rMiiarkalilc, in tbo but. Tlii* )> no doubt protective to tha rltol 

nadiiiieffi for when Hall maintained that buta aiiddeiily awak«d from tlin hlbr^ 

Bntlns condition died apredily, be waa in tlio main, If not •nllrtly, comet, 

A brief cxiuiidcriillou of nntntnl daily al4<«p will throw \[ght on wliitpi altwp. 
'81mp ia favored by niadnrale esbaniiliun, a good condiltuo «f nutiltlon, and Ui« 



a 



PAIf-AMERICAN UEDICAI. CONORESS. 



1283 



■tMBM (if all tort* ot periplwrii] mimult. Tb* cmo of t1i« .vdilli buving but one 
good vj» aaA «no beariiic oar wbn ooiild bo put lo •Itti-ii l>y cloxiii): Ibew up in vrr>- 
lutnicUra. Thts ln<l ilid nol. ]iuiri<v«>r, ronthiiir lu itWp iti(li-hiiii«l,v, but nwohc 
ftflCTm tHimbM' ot lioiire, showing tliAl ihaii^b Ihera arc <«<ituiii couilitiima In tlio 
VBriroiiiiMiil tliAt favor aleep, tli» \aUvr i« awcutialtj s cvuililion of tbo cnitUiiI 
Bctvoiu Mjmtciu kikI dcpcuileiit uu Iuwa)p>veriiiit)i; tbi.> laltef. TbU tj«w iiinki.-* It 
dual Ibul sleep in lutiirull)* n uuctiiinul cvuditloii lurniosl auimaln, owtitg, no diiiibt. 
to iIm «i-oiiiUuD of iifo ill roUttou ulwByH lo tlio ■^uvin■■uueu(. Tlic Tuvt U va ran 
nol eunmve of life «ivi>pt Id ami bj- tCiuoii of, in a si-utc, miui« entirnnniviit. Tbu 
oliiu>|[« uf tbe Kiuoiis, dux ""(l niglit. niid uU iLe pcrlnclicit|«i «/ ili« liiorjiauio 
wvTld liaTK aa a tiatnral cn[iDci|n<-iicAiituiiipi.'d ibfuiirlvca od llviit|{ i1i|ii;:h, plaula iis 
wrll a* Milmui*. SI■■<^I>, Il1<^n, !■ rMimluiUy a rli.vthmir dim Inn linn uf Ilic uL-[iviticii 
of all IImi llMUfa, bill c*iii^i-i'>II>' of that nm-, wtilcli ooultola all otbora, tliu urrvoiiK. 
BliylbinsHBinaUi bi'fit tliu hiMii'f all Ili<iii;i>iirK]tiiioauiI luorgiHUic, but bna not bncii 
cnuuijli cMiaUtorad in our (■i|i]an»(!»u uf livint; oi-IIb, It vai* \<iug ihe ciiitom to 
«i|ibiii atMp by Miiunift of th« briiiu, wlirn.-iM tli« very uut'-uiiii viia dii« to a ion- 
triKliixi of tlie blund vF(Hi-U of llie part accoiupiinictl l>y tli(^ Utminntmn of tb« 
.boart beat, boll) of itbiub are porii>dii'n,laiid<lc[>('iid«iit ou tbcrliylbmof tlienvTXuos 
■jitMn iMolf. or «Anne, tompoinqr aiiirmia of tbo brain fUrore kleop, tboii^li it ia 
n«t Ib« MMtitlal ninMi. A* a naiurnl eonsofinonon of the dccllnn in tli* aotlvily of 
the liteat oiiiilrvlkr of the coll a»tlvlil«a(ni»tnbi>lli>in1, I. «., tli* norvuna a«a1en, 
it)* fouiid tliat nil Uiti fiiuctioiitof tbnbcnljr, witbmit oicoptlon, ]Wirba)i8, aiwdioiin- 
iah^ iliirinu alfrp. Manbnll Hull and otlivra tloco bU tlinr bnvo abown tJiat Tbo 
IIWti(i*a iulvnibiDKA ill a bilipiiiiitln;; itiiiiDol fa grwtly ImcvumI. Tbia dliiiinialiRd 
nwlaboliMn eii'lniua wli,v tli» uniuiul duM not raquiro to Ml, or but little. It 
•splajna tbeiliniiniAhwl (.•xcreliona.etc., Pto. Tbii being nudenitoud, it )■ tint >>nr- 
fifU'Ux Uiat bibiiniatitig animala may lio kept iiudor miter for luii|tlii-'<'i<'d*.a* >» ibe 
ca«i' wllb npivljr liom innuimuU, u kilteuH miil pnppiQB. wlitno rilul inndilnrrj na 
ynt vuritt viTry alovrlf, wblcb urc In fncl In a condition but uli^ibtly inoto xtlvaucod 
|itijaio1a^cully llian tbo nli;(in«, irlilcb la a aort of u riTptlltiin pronntnl atattv M 
i«gan1a tbe idrwlalUn and raapiriKinti. 

Jla tb« nictabolikui of roptlt«« nud unipbiblaua ia of a miirli nlower kind tbun Iluit 
«f HUuniiiaU it U not turpriilu); Ibut Ibeit winter Bleep ia iiiuru pinfuiiiid. Hot It ii 
hi 1m olxNirvul Uial tbn cbiingi' from lb«ir uicmI active lo tbeir uioHt ■liip{;isb cumli- 
tlou la Bol Bfobably icUlively |;i>»ileT Uian iu tbu ciuib uf miuuuiab. All form* ojCg 
lifufoulid wlulur (or auuiiuer) ilovp are iitotectire, botli of tho indivtdiuil and tiid 
apovk*. MaiiifMtly ompbibin, roplilin, nnd otbui- Kionpa of tli« anininl llliigdata 
naat bavp utterly vanlabcd from tbu faro of tbe varlh but for aiicb a puirer lo adapt 
tnmndltloaa. frubaMy many iuilivldunli, I foot mnnoeiitiK uronp*, liave, lliroufb 
mar* or lea* uoaipkto fml'ire to ndnpl, dinappnarod before Iliin biiblt of tbo iiorvoua 
ayUMU and uf tb« wbniti otKaiilMO licvuuie poifuiit onoiiKb. It 1« eciually cWr, Itoiu 
tbo lMvaal)|piliuu giT«n 10 tliosiibjunt, iliiii bllx'miilhiM, like ilnll>'»l*#i>, I* iiota flicd 
aitd rluld tbiu);, bat jimt a* it bua tii>on tbo riwull of ii'bipliitluit to the '■uviiuumout 
by tlrtoo of the pliiBl icily of fnncUuD o( all living culta, to the pnwer to modify ttill 
rmataa. It l> poultdn lo couoeive of tta beinc lont in cerliiin groupi of Btiitnala; 
lailaed, thU pbaM of tbe anbJiM't bna bi-cn aa much iniprt.wu-1 ><u mo na the otlirr. 
B1m|i, biberiMtl'in, and all nacb ilatca ato not invariable, bnt lo a cerlnin ottenl »o 
Ja)iMiileu> 041 llio ■iirT»niidlB)[a tliat, aa la Ilie ciue of my Inst tnnnnot, alxi of tarlloa 
and fro|ii kept wicliln dour*, tliua niay bo nn oinlaalon of that condition whfcli la 
taabllual HDiler tbe nurma) euvlti>nu»<nt of l)io aiiiinal. 

I would lik« lo vniphnaiio tbrev facia, fur Ibey ecem to iii<- to throw KTcnt ll^bt on 
(1m •volultim «f flinrliun nl all cvvatn, and ou Ibuae cbuogvt irhii;h may bociime tA 
KTaat M l« Irwl, wn ean baiilly aay. to what, in tbe lapao of linie. Fot y««r« 1 hare 
bad luclW. and nipMiBlly (Vneii. under obnerviilioii durini;t1i« winter month*. Our 
trof fur labnralory nao at Mc<iill linivertity arc kept iu a tank Iu ubivb the ualer 




1284 



PAH-AUERICAN MEDICAL COKOItE^. 



ia being oantltmally rrnrwml bjr n slow bUvkih. Tlicy urv not M. Nono of the 

frojl* teem to i-tiM illlu II culidittoll of ttae biU'Tliatlon. Imt tlll-y clfarnDd Ut tto lot- 
toui i>r tlio hiiik ami n-miiiii iiuiiTt. n* if a*<l('<'p or piiitully torplil, uii iiiiIi-iM I kuiiw 
Mm}' (I fir II .ire for lioiirL In Uiiai* aa iutcn-aUiig luiuHficalloii ul'tltiit iikmI pmfiniiKl 
loiliorirlilch iIkiv •^x]>■^rlnlmT wlinii Uiiried in Iho iiiiid at yitudn. Ivrcii ititliu wiiiti'r 
Vih n( !i cinHiiirv llki' ili« uiiirtnut wa mar '■•»<' i*" <1o;t^<-<o* of (IraTrslucH or toriMr, 
U 1 li»«o hIiowu; hikI il iixnllulii-I'nri.'oCluu tliMourowatluil) ttl«u|>liaiiStNil«}:ii!o>i, 
M> tjinl (li« nij-lil'a nlrvp un.v lii> rt>|iiptriili-i] liy a cnrvu with a dliarii iii« iiiul \my 
f(TiiitiiAl fnll, wliicU riiay, n« no iiU hii»w, he ^tmillr iii'mUIIi'iI I>,v circiiiiintniioMi. 
Tli« luimr lau'M bitdi to -'ippl; to 4II ttie hiiowii i'iiiw> of liuiuiiii latliuri;,v, iiilH-iua- 
tiuQ, iil«>|>, ur u'lii>ti'V(-[ llii.' tiliitv uiiir liu riillcil. Ill llit> ciiau of tli« Ixiriwt s1>c<-|» 
mill lii>;:n the piolixitivi- ruliip <if lliv riinililii>ti is cviilt-iic, hh hI«u iu the <'jib6 nf (lie 
]i>llinrL-icirro(iinil. Tliji iiiilividmil. v. 11I1 »■ ill-liulauccit iiml unsliiMe n rr>iiBliliili<iu, 
woiilil |in>l«ibly Uiive liuni ciirti(«1 iiff l»y nouio iWiuof noluiildiiiofixi tnnKl>i-l'<'i<'liwl 
■hn rFiiiitiiioil annko. t'lic foitlil e\t*l An 11 nw-re vr)t(i(»(iTR oriiauttiii, t>iit uni. n* ■ 
iiiiimnl liiliiinu litliit: in t1i<- oriiilinr^ "ItUKut') (•>* I'Xialiiicn. <lii<i lliluu wlili'li liiui 
l>rri< iiiiirli Impii-hwil npim lun l>y tii> ■tiiiticixif llil* whnlr iiii1>,ii<i't U l)ii< I4r) i<i|I 
ili'itr<-i4 (if Mi'iiniClvoiii-m io (■■rii|i(>iiiliii'n niiil iiirli>i>iiiln;;ki>l ^nIl■1ilillll^ in liillcrcut 
(■iiiii|ii>uf ikiiliii:il* niid (IlllVmil liiiliil<lii>U n( Ibr *>iiiii>' ttmii^. Tlio buliui'iMii- 
liurvil Willi llii> ni^TUiiil, r»r I'xniiiptr, may lii> wnrkvil llht> » innt-liiiio by varjriiig lli« 
tviiiiiiTatiirv. Ou Itiu coiitinrjr, lli« ili.'igri-e to wliicli tli« wuuilcliiick in iiii1e]iuiideut 
of Ii-uipi-rnluru B-nN 11 nurprlae li> mo aftur my fspfriciici! willi tli« bat. lint the 
woiHlflliurk uuswrnd Uku a b*ruiutti-r tu prvdiot nturinfl; in fitnt. 1 nni iiHlHllvd tli^ii 
iiiiiiiy Willi nniiiinlii have a diclii-'Utt.' purcL-ption of iiictooral«)(ieiil roiidilluiia wlilrli 
iiiiiii liAk nut, 11 lid irbiub in a ■«»*•' mulii-n Ibi-m wi«or tbnn inirnrldiinnHDil wt>i'r I ban 
tb«y litiiivr, for ilii^y art rrtlrxly, ■> II weri!. Often mj- nintniot would lie biiint in 
tli<> tilielil ■cvapiuK tbn Hiiiiw iiliont Ulin pi'iur to a (lorin tliat iliil nut roai'b 11* for 
Uliiliy lioitnt iiltrr. 

Mar«hiill HliII liikil II dowii ua «no of thu ptliKipal roucliiaioiia (bat In hllwriintliig 
uniiuuU " lutMi-nlikr Irritiitilllly" I* liirri-nacil. If Ibo t(^^^l rcflt-x tip aiibatiliitrd for 
DiiiMiiilull liulicv'e Ikr imirliiHion Itvuirnot. I fonilil iM a rraiilt of acolVH of tfiala 
tbut «hi!B UiD nuil'liiiit H'lW bibpruitttiii! lil wikt inolr wnvitivc to 8l[-;bt xtiriiiiti, siicb 
na blawiue on tliv biiii-* of the akiii, tlinii whim iuoiy<ly slmpiu^'. I'luinlj' lliis waa 
not a OHM olniiiAculiir ijiiliitiitity at ull. Uut it ilur^s itidicatf tliiit tli«TL>rtoi morbun- 
um ia inoTo >?XPitat>lo oa it is. for oxuuipk-, iu»u ai<imiil nniloi' tbi- iiilliivifci^urBlry^li- 
nlon und bji it ia in animulii from nliiiib u purtiiin of ihe «4iiiiitirum baa boni 
roiuiiroil. It may l>n liociiuio ttifi iiiKxinauiiiiiiiiraa in nit profoiiinl, I. «., Ibn brain 1 
fur from Ita ordluaiy fiiuctinual a<iltvltf, foi U ia w«ll Mtnl>Il)Ji«d that Ibo Iwaln 
iubibils tb« apln«l iiinl nnniially to a arrtaia oxtatil. Appnrrnllv tbin tiii-ni(i«nl 
reflex eiuilability luiut lio la Ibu n<]raiita|p> ut a falbflniatlnjc luiimul, lur tlio runl 
anil moilullu oblougala uru lbs pari* of Ibo iicrvoii* rant«rB tli.tt mpiH^ially pn»tiit« 
ovor tho fuiHitioiia of uT|{anic life wbii'b hid npOPMniy to uiuiutain a lavrc nuiuial 
•xiKlnuoe. Alt ptublvtDH uf a biidugical kind luntl nllimalvly )>•• rvfurrpil In collet 
aail at) villi tbixof kibviuiiliuu. Iiidood, it would mmtiii lliatiiuiuclluUraniiiuUpuaa 
Into a nonditiou wbii^b is Tcl^ilnl tu Ibat of bibomstliMI. Tb* Mi-ualled eiicyiilnl 
ala^o of pruUinoA i« pi-rlij|i» iiii'lu;;i>iia and aiaiilartx ]tr«a«rvaliTe of Ibe individual 
unit Ibn upociea. 

'I'bv atudy of n aiibjcet liku (bo pr*«aut one giv«a rLso to niauy qumtiono. Can IIhi 
inolwiilar madiinwr of tlfooatimly •topnnd yet be act in tnalion u|;nitir \V<i know- 
that cold- btooilod aaiiuala nuty Iw frivien iind caiiiptrtKly ronlon-il lo a naliiral t'i>n- 
dition. Tbl* niid Ihr Micyxli-d mniHllun of protOHia uo ansgntive of hicIi a |i>i>- 
aibilily. Yut in inMvtit a condition ■•! jivifrcC qaloao«uoi> bi acciHiipauird by tli« 
nxHl woiiderfnl i'bani;i<«. Tbe WMtiiillWn rAiMpLIIac ItrioiiKu. irltbln It* ooi-ouo Um 
biiUiTlly wilb liiruiiiiilltu (Hxrcni liiimiMaurHldy ([icutoi. tor iuy**)f Ibu u>uro I 
vliidy biolo;;ieal prvbkiua Uio leas ain I iut'lliifd to aiibaiiribo M rljttil furuiubx of 



PAN-AMERICAN MBDICAL CONGKESS. 



128.'> 



ping. T1i« iloilj af n (inKln jn^'P of nnlnmlit fWini a phjnln1oj.'lfnl (loliil of vteir, 
iHDcli Ina llmt of a litif;'" tiiillvlilTiiil, iliwfl iii>l wiDiiN' In eiiuUlu uus tu Inir ilowd 
Um* tlut will apply lu Kiiiiilui proRruii-s lii ntlxT gruiijiK of nniinnls i>xi-cpt in llie 
tiHMt nitlioiu vity. I <'uii nevi-i totntit llic Iftwin of ui.v iiuirmiit tlint iliii iint hiUnr- 
lut« III nll.KiHl what iiMillfl«ntiiin of prMont vivvn morn cKlvixIril xluilr <>f 'IiUmiIi- 
>(irt (if »l««|i ill »I) lu phftMi'ii will |)Ti)iliiro, il Is iiiJiiiiiuiilile to m^- 

All i»y nwii «liiille« li!iTL> j'rvullj' iiii]>rvnuit idc nith tliu ]iliiilii<ity of llvinji tlilnjcD, 
lliFlr |>»w<TtaaiIi>pt tli<-iiiiirlvcs to nllorolf iivir«iinii-nti>; nni] If I mlttlit Mik-^i>«t otju 
i>f tllii icri'Ml diuiii;!!!! thul in llki-ly to rninc iivct llin bloliicy of Ihn flitlll^ it i* tt 
■v^iKliHl'iii '>r llio «Iinv« fUi't ; >u Ilint wo will cr:iM< tci |:i'll<'r»llr«i hi> iiiiU<ly from 
•iidi iiurrun' lUla, or rnlli<-r, |irrli»iia. ire will Im rcnily lit lii>lli>vii Ibiit |>liriir>ini^iu 
rory illirnrwiil from lliwi* iit*i kiiun may lj<i |i(i«i)li|" Iti ilii" rvnlui nf living tliitig«.1 
It liB* nftrn nci-nirril lo m<- tliiit [""mIIiI) If mirli criiiniilrrall'iii* "ero kept iu niiDil 
w» Rfaxtilil iiut till <lii[>[»i^| til u*Hiiiiii.> lliiit till! vuiKlitiuus miller wliicli lifv iins 
«xl*l* oro )itvrUcI>' iIikw- iimli-r wliiili il uln iiys did (■Kill. Won 111 iiol u liltlc ninrn 
bivlugkal dguiwliciuii belpancL tt'ttatena* jtuuloKy luid paleontology t 



PATHOI-00[t:,U- ANATDUV OF YKI.LOW KEVIIII. 



By JiiMKPlI JuXWt. U. U.. LL.D., 

r<V>*>' <ifClkn»ltl't unit ('(loloil )li.titiiu, WiiliVnt lu-iiarimit\t T-Uai VtimMif tf f^yititna. 
Viiitittf nfttlait I^Aarilt /livf <lal. AVm Ifilnltu. 

I clwill tiow illrr^l your Rttoutlini 1« • Mil)J«rt of E^ont Inipartnnco to nil »littl«ii(p 
i>f iiipillriiui itml uf tiiiiiiu-ptiili'iit liii[>i>T(aiii'p to rlio iiitirll(loii(-rH of iiioliriiio in 
trnpirni, wnil-lroiik'iit, loAi|iunla, Mill iliHalnr Aiiicilva. — lli« iiutliulo^ficnl aiuitoiuy 
uf yi>lluar fnver. 

If yo'l will uxniiiino rnraOilIy ttie (yHtemittin lreali«irB in lli« tlifrtr,v nod pnoti* 
of iBi-ili^iti«, yon will iIikI l>iit lililo of valnr KtutitiK >■> III" piilbulo^'y of yttllot 
tov't; tu flint , you will Mini tlie niiilrinrot in si>iii« of your I<-xt l>n»lu tlmt "yello* 
fvvsrhiw 111 iMlliolojfy." I ■hull ilrnl noMy witb ilir triiilli nf my ctluli'til kciiiIIii) 
limit' aim tno i>\niiiiti.'illi>iii>, noil iiilrn>>cliriiili'ul iiivn>il(;[illiii» uf Ilin piut llilfty 
yrnr*. init I fp«l uiu-iui-i) tkit you will nuire n-illi mu iIihI yrtlaw fnvnr li>*a iliHtniol 
p. I I innloin). witotly ilidV'n'cit from lli:il <if iiiul:iri;il fi'Vcr. nnil ua ilistini't- 

i ivri-ilin A* tli(i ii:illi<i|<r;£v uf lypliuiil or pntriV fntx'r. 

II u •!< )li<i illiitrol iii-|<urlnu<*r tliut llx.' Sniithrrii pliy-i-iim, us Will UH llic prurlt- 
IkiiMini ill all III* niarllJiiu' dliw, nhKiiM lin nliln tu i1iii(ci>usu unrunitrly tli« i iiri*iiiii 
roniiB of frvpr. Til" n-iw.Tl i-f ii nimn of yellow frvnr in any fity uitliiti lli* lnmiiiU 
nf III* I'lillpd RIhU« Piniti-H wiiln xproiiUtioJi. Tbo people Ben fioni tbu iiif«r|ed 
wpota and rlsld >|iiBraallii*ii iiti' mpblty iimtltiilnd nguiiiiit tbn snipurti^d Walily. 
U RU riTnr In iimiIv hi dUitiiMt*. If It Im uot yrlluw fi-viTf, ic^cnt <lniiin|;« inRiill* lo 
llir ciiiiiiiM-n-* niid i« ttin tii>pplii«M iif llip Riitpvclod ppopln If, ou tLi' nnutinrr, 
tlMi •tlHiua bN altoiri'd tn Hpfrad. IbnutKli Itip fiiiliira of tlie iiinllrnl pinfoMlon iii»l 
»f lUn liaallli niilliiirilii<« t» niifrrrlly and piioiiptly il«loriiilii« llH exiiatrim', Ilin 
ii|iliU'inlr iiinf riiIii Hiii'h Iwiulwiiy Ibiit it cnii ii«VfT ti« iirrmlvd aiiit tliaii>:iiiiU of 
litr* limy tliim Im anPiillnml. In tlio ITliilod J^liili'i yellow fever '* limil'^il Ui ri-iljlit 

MMilbo'f tlie yr«r nii'l tinirr prMviiiU iliirin-; tbn wliitnc mtiutbii. hwn b<^ri' iii 
Kvw OrUan* Ibn Kpldnnili* bitin Uvii Uiiiii'Inil t>y xbarp hnu». lii'Ciiliii, lluviiiin 
■BpMUIIy. and !■> M<»l«o, Vctk Cmx caimnUlly, thn dUMao tnny pinrull IbtuiiKli 
Iba aotlm ynar. 
1 Mil fOdi ultnilKiK !■> ttia follow luj; tablp, wbinli I tiiive conatrnrtnil for lliepnr- 
I «f lUaaimltiK tb« mlattutia of yolkiw f«vM to eliiiiaic In liila ciiy. 




1286 PAN-AMERICAS MEDICAL C0N0KE9S. 

M&nlhiji dtxiOu hjf gdhw f*T» dariMf a ptrlod 0/ thirt]/-tieo yeart, tS47-tS78.* 



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•Kaiwriaur JiH<i|>biaoB.X.». rraitlBU(i<rilw IImi4 of Bodlb. SUla «f LvnkMua. »«Q. UBI, 

Frniii Iho prt-cdihtijc I11I1I1' II Ih irvlilmil tlint. a* a ([""'''^l till*' th4 urtutt cjildemleii, 
cut tllii<ic> i>r tH17. IKl?. 18j:t, IKVt, IS.V>, IK'S. IN'IT, kikI tl<TH, KnininonuR<l orly in Iho 
liuliiKiitUi*(MBV. ,liiii«. ■»•! .tiily), ;tii'lathiiiiisl tlicir nuxliiiiiiii Itilciiilly In Aii)iii*t 
Duil f<«|>l<iiulj<]r. Tlni«,il<iriti^ ttii>ii(>rioilortliirty-t<r<i foan tlio ili<nlhi) (torn ypllow 
fovec in Kew OrlMtlu witreiurnllovtN: Jananrr, 8; Kulirilary, 0; Manli, :l; April. 0; 
Hftjr.S; Jiin«. 4»; .rnlr, 3,34m: Ax;;.!!!*, lO.SlO: Sii|>t«tiiber, ll,»(il; Oittiticr. 6.714; 
NorembiT, I.ITTl hei-uinber, 119. The curve of yellowr fevor, tli«r«fiir«, oorrrapoiiil*. 
toji««Tt«iii«itcnt, Willi tb«ci!rTeof toinnRrNtiirc. Tliiu, rrom the rrcordaor Ihirljr* 
eiglilycarii, whkb 1 liaToonoiH>Itilnto,lnniIi.-.tlriil:>l«) (Vom tbemiMt roliabla >luU, lh« 
iiM«nl«iiipu«timof NewOrl«ttiu i* M rollowit; Jaouarj, U.2S^; Fobriurjr, 58.03 ■*) 



PAN-AUEKICAN MRDICAL COKGRESS. 



1287 



MnKh.IU.3T4; April. 0a.4|O; Ma.r,T3.ffi>^; Jiin4v8l.3&°; .Iiilr.S3.31°; AnpiMt, SS.HC; 
8tii>(i*ml>ar,W.IH^;OololMT, 70.27'^; Nov^mV-T.ei.tWJ; I)<.-cciiilirr,56.4:r^ AvmihTiii i 
■|tnng. 00.60°; anannm. t<23S ' ; anttimii. T0.T5^: niiiUr. S«.'Jt'- ; yuar, fiO.&I'^. TIiA 
nrt|;iii oihI *|<r<>ail of yellow fiM'ct. tb<Ti'lurp, di-prixla ittiMilutely iipiia ao clcvali-^l 
Uau|>e^llllrl^, mnfiin); from TO^ to HA^ V.. nnd :U dcclicn ilc|iiMidii tipoo k inoou Unn- 
ptcntiin: rttn|{iii|i rmm Kf to Hi^ f, ThcM Ak"*^ "f conne; rrHnto to the mean or 
■vannt" nMittilr leinpcratiitc, Ihn cxtTcmm bitins mneh higher or Inw«t, ran^luK 
ililfliii: the ji^r in Ni>i' Orii-iiiui, as thimi hy mctcnNiliiiclriil nlMirvnllnm* (ixlondinK 
fnini I81T to 1NT8. from IT' K. to [W^ t'. Seaportg li.Uilo li> lh« ltir»ciiiiii of y^llow^ 
r«vor •hoiiUI Iw earofttit) liiti|r«alcrl amt hi thoavottlof tbi.> Biiiipuritircor thotliMAM,.) 
Ihn i-oM 0* (»•(• ftlisiiM liu Dt i>iio« isiiUli'il ami tli<* «urroiiii(Un^ hiiiTtm, .vunlH. niid 
■ttPCtH Ibutotigbljr «l(«ii('il ami <tiiii[ifHi:t«il, l'*!)*!!! tho euumy Jminviliiti.ely on srgbt, 
irlpMiHiolf. oonlinnoiuly, and with lh« b««t<kiiowu agents aud niiiiliiiui-'ui. 

rATIIOLOaiCAI. AKATOMY OV TKLLOW rKVKH. 

Kt(«rf«r.— Oonornll}' full and mnch reilricM iu flmb; fcnturci niny even prueiit ft* 
«Hi>]|i*ui»d blmiliMl oipcct; akiti or taco nnil iii>peT potlioni of trunk nf Ago)iI«u 
follow folof. The d4ip<indciit portion* of thit body nrn of n ninClli^d pnrplliih nod 
jyillow KCi'liyniollc apponr4DCi>. ttlni^k Tnuiit frfiiiunntly niir-et fioni tho pornern of 
ttin nwmtli >n>l trli-kli-a donu tbn fncr nml nock, Wlirn tlii' iiin><p|ni nio 'ill a lnr|^ 
(IDuatilyuf dark Lliind ntonpi-o, vrhldi, iip'.nrxpoanni In tli<i nlnxiMiilirrit, vli;iii);eH lu m 
tiriglil Mcrlot hii«. PnlTffnollvo ch3iiK<4 I.ika plum rupi-lly nflnr di>»tli, Iniuiiiioi 
GiiaMoryelloi* fovM. Mpwlnlly wlivti lli<<fi>iKlloiiii»f IlmkUlmtyithnte Wvii aircitod 
forMwis lino befofo d«nll>. Ihe pulrKrikrtlvD elinncfn liikv \<hr« wiiti f-n'nt cupidity 
and OMincy, aiHl Bocnetiniu ev«u upppar U> cummenco iKifuro iteath, the boily cxUaU 
tnic i> iliiisjfrfraldu oiloi. 

t^trtbrtr-fpitiitl ntrrHit tflim: iumpallitlie an'vout ifftltm.—'Vho ]<o«l-niort«m eiiviiii- 
nntliina of tho lirnln, Bpinal ninl, and aympallietia lyatcia Uavi- tliiii fur ylvldwtl no 
cl>ara«lcriMl<! Ivolnn* towhirh Ihc aborrunt acrvouo ■yuiptotniof ycllom tvvft oaii 
lio rvfrirod. Iloyoad ooii)(i*I'oq of tlio caplllnrloa of the uiTcbro'ipSiinl ami »)'iripu< 
tbi'lli' •y»loni*, trhlvb contrntlon npptMtro to bo Tpforalilo to tlio Miinn cniitie im that 
jiiudacii)^ i;npillai}-ruiie<'"t>o» '"' tlie inUimil orjintia, I hiivo ohw^rvad nmitnivlitinl 
Of biDMiuitkngiF kialoiia. iuili)>H[ioiiit vITiiHlon or aoflminjt of thocMphru-ipitinl and 
•jnnpoUialli HMVovt BtTiictiiri'H. Cbuiuirat nnnlyeU ii>vuiil«i1 lliu prpH<nreiif nrra. 
blla, niiil loiinin In the btnin, and Ihi' vll'<.-cti of thetm aiibtliiiiccn, an well na to Uio 
dlri'i't Bfllno of tbo yclIoW'fevci puiti^m, ninnt bu ivrerroil tliu uUvcnition of Inlfl- 
Itt, ih« PMlJaMnMia, eonrnlaiona, nod roma. 

'n>oaiiMi>Kt«r ooBftoctlon of ibo blood vcMchof tbe brain will, (oaoortalnoxlMt, 
tory wttti IliU atajtr, nnil nilh the ironilitiona ntidnr which llin ilrntli tftk<« pluvc. 
11iua, whm ilia funntloiiA of thf^ kl<1iii-;i> are jtrrotly Impnlicil or vhiilly Hiippnaaoil. 
vwlnu to the iflcnllmi of ll>n wairi.i Klriiienla of tbii liloiid, lt>i> vtuacU throughout 
IhooulJrcKyslBiii aretllM nith blool lorrplction, and thnbinin i*, ch)i(hi Jolly from ila 
aoflnlrurtiintuiMltlHii'biiinrlcf ufilit I'lirnlntioii, tboinoKtiinrrteil. liisiiclioniiiMitho 
btiHMl II M-nD luniii^ fiiiiii Ibu cut inilncco of uanibctlow vMoels when aNtiona 
of lb« briihi un< iiiaito. t'nilri' Iba luii'ioHvope the tbtea tectioni) of tlio brnin reveni 
■ ■Uloof sii-nl hy|<orH-nilii. tlio ininnlo capllliirioa haiiiK lilird iritli colnml hlocHt 
twrpMclMi. Tbo (luMeii buo of the hriiiti niiliilnnre un>1 uiKiiibraDoa, an vnll na tiioat 
of IIhi liaanra grni'iully. U due lo Ibo preoonco of llie coloring multiT of the bilo, 
and alHi lo the Mrapu of bmtnatln fTaiii thn blcoil vmihiIh. 

Whnu ilt4lh txtnn uflof ptofiiJta li;i<moTr1i]i|Cn« frimi th*" kloin:ii'b nnd bownln Iha 
bral alrtielnrt* pii>oenl l*oa H*id''iir*o iif rotiKnitlAn Ibno nbini thoto syinpliinia 
bsvo brou atitriit <>r prraont to n ainaller <leu[<'o. It it piobabln that tin* •'erebral 
gUitl'A *i'' oniciinlu'ilva. na wkII m tlmv^ot Ibu itpinai cohl nnd Hyniputlwtic norv- 
om ayatoni, are alfixlnl wlrb the hbuio rbiiiu uf cbcoiiinl r'-avtiont, irbinh ri-Atilt in 
iba CunuttoB and a«vutiitilalloa In the blooil of oil, nnd also of thia product in tha 





1288 



PAN-AUER1CAN MRDICAI. CONORRSK 



haart, Ilvor, nnd Uiiliiviy*. Fail; il«i|[<<iieTiilli>n lina Iipmi nlnrvTr'' in tlie niirUiof ^ 
th» uilmilr voMutt uf t.liopin iiiawT r^iiiiilfa, n* woll na Hitniato*. Ill miiiiy tcmitUiIio ' 
niicKii ti»<l (lUjippciiTi-il. toiivliii; f»t );lo1)iil«> lii llioir I'lm'fii. With rrrorfiiNi to iho 
bntiu t)l>^ iiitiHt )iriiiiiiiii'tit obfi-rvailou thus far uint1» it> tli* fxixtrticii nf fntt.v ilc^vii- 
•ratlon uf tliu bluutl vuMrIa of thv cortex rorvbri, Mnilint to tlint uI)jii>t*(h1 in tliq 
vouiela of (li« pill router, loitetliw with de):ui)riulii>ii <if Uiu |(iiii|ili»iiiii lioilltsiil tlio ' 
oorlcx. If lb«vi> obsrrvatiouB •lioultl b«<oiiliriiiu<1 lijr fiit tlier r(<uar<'li, tiiiil (njii-ciully 
bj rliMiiionI aimlyHia, tleirimiiiiiiK llic etLnct iiiitpoi'tion uf tlic oil in ttii' brain in 
b«iillli and variotm diaNLieil bUIps, it will lUiis be ilioira tbul tlie Di-rvouk fiyBti'iii, 
boili cerehtU'Hiiiiiul iiuU ■]iiii|<utlietic, tii iuvolvediu a ■iimlari>i<ricaorc]iiiii«M ssllio 
Dtliei Qrgmii*. The iiiiivci«a1Jt,r of tliMc rlmrijiM polot to tlio blonit na Ibu i^citt 
KiL'iliuiD Diid *ourcct of tlio cbeuiionl itattoiiH ami we bnvo n rutillimnlinD of tliti view 
In llie fnri, whjcli I biiV6 iU<«niiinod by rbnnilc.il nnslyoin. that tin- ulrnglnmin «in- 
Rtllilioiitu lun Birntiv iiirti'ii»i'rl in llio binoil of jrirllow I'ovor. Tbnt llii' lii'-rir ]u«»cnro 
of oil In iQcriiaai^il aiimiiulii in curtain (ircnnn dnriiiK yrtlnw fiivnr li not Ihp conMi at 
tlio pnivrnt )ijni|il>>ini' i« nviilmit from tlir. riii.iiliiy iif tbi' coiiv:il<-«ri>upo iii many 
«MM auct tk]»o Aviiu tli« wnil-known fui't tlmV in miiiiy rut^v Ifau cviivrni bciillti iH 
fTenlly imjirovod liy aii Hllnuk uf jollow fi-ver. 11if ;;Tftt'cBt Hyiii]iI<)iiiHiif thiN<iiNvii>Hi' 
mnti lii< HoU);lit ii'it m<.-i''Iy in thv tiruetiirni alli>ritti<iiia<>f cutliiin ••it;iiM<i. but in tho 
inir.iiil tbfuiiL-ul clianunt iiiilui'«d by (hv )>uiHiiLi, uml uliivU pk('piK> tbn tinni liviima 
(linccrijulilH ufCcr dt^itth. 

Iharl: I'ulo yflluK iniil browuinh ynllow, ai, if iiii(1or|{»ii>S Hittjr ibBcnninllnn. 
Struct iitfi uf tbiT bt:>nrl fla)i1iy and nuiiii'wluil loflpni-d; niinirii'ii* oil KiobiiIi-« iIciiim- 
ItDii within and arniind the luuicnlnr tlbiHLa< of (lif< bcjii't. Tlic RpjicaraniH' of tlio 
heart In a oano of yellow fiivfir (Etlward UrilQn, whodli^d in iLo rbaritj l[i>')>''al of | 
yullow fnTpt NavembrT 9, IHTir, on tba tlnlh day iif tbo iliii'iui-, aftur tbn (tJ«Rtloit of 'j 
luKoiinBHtlliMof tilach vnmlt) U i«prM<'iili-il hi tliffolJoitinK^Hloniil li)tnTo(Kv. I), 
llrart yclliin' atiil HDnfiiKil. L'nilor Ihv microsrujx! trniiHmsmriarkiiitisof itiuHCHlar 
tlhr«a Iniiiiiliuvt, uuil iniicli nil and gntnuiar matter dB|i(ifiitiMl v> ilbin and ai»iiiiil Ilio 
riiiiBCiiIar librxi. Th« u|>|icuranGi.- of tbomiidcntar libii-nul' this livart iir* tvjirewiiti'il 
inf'ig, 2. OuetbouBuutl parlaof lliemiuctibrBlnirtnieur (hc' btrart cuutuiueil w^tcr, 
780.-11 ; tmlid mutlrr, innitriilaT I11>n'. eln., frxclnntve of oil. JUT.IMi: nil. \iiMh In lliin 
Oiuia tliv Inft vintiiclQ iriui (libilril iitid liypi>rtrii]ihii'il, hut ibl* oondillun ati|ii<iirvd 
Bol to Iiavi- an'p^iKi) Ilia beattb uf l)ii< pntirnt bi-furr tbo mlvrni of fi'irr. 

In tlH"iiii*orsnmnd Hlnall^^, :i|:ctl Zi, nhii «iiIi>iih1 llin Cbniily Ilcmpilnl Nov«(u- 
bnr II, ivri. In lli» funttb day of »n atliirk of yllow foxir ikinl who tbKiwnii bturk 
roinll on llii> Itlih aii<t ITIh and whi> tllrd al I o'liloi'k I'. M. on nlirbtli day of din- 
Ma*, Iha aitIoti«y wm inuil» «i^t Iiount tilii>r dpntli. U'i<it:)il of hpnri, '.I iro.v oiinivs; 
gTMt oon);iViUuii of bloo<l vB«M)eof ficiii'nrdiiini. mi'iiiblint: lliu^iiiponiHiireof tli« 
peri ram I ill in of > tahc uf j-i-lluw frvM wbi>-b Olisl on Ibo sivth duy of tlio diHunnu, 
Ascntl t, 1871, Ti-i>n'»-ul«l iu Fig. 3. Tin* bluud vciMibof Ibu Iivurl wciw iliitciidrd 
with tlark'roloiod blood; tbn cavilicaof Ibulicarl eonlainrd uhii-iit 3Ilnid onncoaof 
Muod nod B^ldeu-yullow dlnta: v«na ravnc and pulinnuiiry vrini |UI«td nith iliiUI 
btuod. Wlu^n washed the ninnrnUr >>triietiirra nf Ibn bourt iirMCiilud a diittiiiet 
yalluir onlor, niinilar lo Ibnl of Ibt^ boartdrlliinnlt-d in Vig. I. and iTa« rrailily inniil>(i<l 
bntwnn the llnurin. I'lidiT tltn tnkrost<i|>i> Ibo miiM'nUr fibtill.r ririftviitod iiidiii- 
tllKt tmntvpiM MriH- anil riinliiinud nniii«ii>il» oil fflobnW and miK'b .velluw (■■nli- 
■tur cnaltftr, reitMiiblliii: tlio libiuH uf tlie bi-nit of a cati! of yulhiw fvvur di'iilvt«d 
litFiiC. U. Oiiu llioiiauiid jiarJiof tbuiiinKiiliir»tiurintP«iif IlKilieiirleonloiU'vl woK-r, 
790.6&; lolid iniilter. i-ivlntiva nf olonKiuon* tnullrti. Ittd.M'l oil, Tl>.ri!l. 

Ill tb<< pm^r^linR case oil or fat nu priueni in abiiociu*! qnautllim In Iba muwu> 
tar HttQctnres of tbe lioarl, tli« fat benijc d<i|>(isit«d within and arnuttd Ihn n)iiii.'ii1ar 
CbrilliB III ibo ratm of tninnlc clobnloaof vaitoun aI/ch. TliNfiU alv an obliii<raUoa 
or obliteiutiona of tlia niutcular flbilll^ of Ibo b«uicl, Iwulltig to a diMppuiirnaM of, 
Uw BiuMutsi alilic. 






itflrr (mt/^fHt 
tridt xtilflMirif 








fill ./ /trurrrry/nm 



PAX-AMEIilCAH MEDICAL COKORESS. 



128D 



W Tlia TMiiav*] ot tbii jwrlli'lM of oil Troio I1i« iiiiiaralHr HtniclurM of tbo bi^atl liy 
sulpltiirir Htli«r <li<l is"C mloiM Ihc ulililM'ntuil at.hii-, iicitbcr diil Ihis osFnt remuvs 
aU ttiv iBiiWoUr putiolu, n purtiwn mt Icudt bnhif; hinolulilu iii ether, uIfoIioI, nii<) 
clilorafiinii, iiii>l bnviiig an annlofiou* conaiiltitUiii t« iilbuiiiiii nnil nUtin, It wniiUI 
wllluinl iluulil Iio a uiHlt^r of i^miit Intnmt to nioilirnl nciimrn to (>*Inl)ll*h rli-nrl.v 
Ills rxiict ]tlif *t<'Hl awl rliniuiiral cIinniiMi wltli'li naiiU In llio llnal liitiii>foniiitlioii 
>■( ltii> iniMi'uliir itlrri«tiir«<t <>f lliv lii<nTt :>iid KOnrrliiTy nml •ii-n'inry Klriii'liirvtul Uie 
llti'f aixl kiiliutf* liitn fut. Tbu lUnii^iiliii'd of *iti,'li At) iiiviu.Ui;:ilu-n iiru wty grtut. 
■ipH'Inll.v Mi the cli«iiik«l i»-uhti^1i cau W euiriTiicMicviI utiljr in fiil:il riiKu> iiutl after 
Hwiti. Tlie fomplclp iiivn>Cij*utioii uf tliid Hiilijvt't hIiuiiUI vlul'mci^ t1i« following; 
lii<|iiiric«; {I I Is Ihvrv au aotii»l itim-iwii) of tlii? rnllre uiiioiiiil of fnt iu lbs blou<] 
(iri;iiiiH aciil U-xInrc* in ycllnw foverf (2) Is tlirn' nny iiiuv<>in(<iil of tlio futty itiallcrB 
tnimi tJie |>MiUi>iiii to wliicli llicj' uro cbtcll)' avcunmluU'd in hi-iillb, ub iu tli« a<liii«ii 
tiaMic, tbit marruw of the bnnrii, tlio brain, niiiiial oor<I, nuil ocrvc* Kcoctatl}-, ilnrinjt 
tbn fabrllf oCai^n of jiollow fornrf (3) Aro tli« b««rl, llv*r, nuil kiilnoy* tlmply 
InmiiDlvil wilU f*t nmvoj'oit l>]r the lilmiil diirliii; fAvcrf (4) !■ Ilifio nu ni'tii*! 
nuivnniton of Ibo filiilii ami albumin nf tbc bliioil ami tba albuiiiinniis oleinuntAof 
Uia benrtl (») miiii tlie ni'vumnlution of ful iu Cvrliiiii organa Iu Ibis iliavaM r««iill 
Unit eWuiital cbnugM tlirvvlly oxailcil by u tp«ciUe puiaoti.orfiuiuiuiperrncl oxi<la> 
Umi, "f jirtxi<itn\ nalritloiil {S) EIak (lin pcvvcntii>u and ntTtol of llir fiiiiirlloiiii of 
til* livvrani) tbf rrti>ntion In t1i« blooildt thocunitllai-nU of tbn bllo ntiy rclnllun- 
■lil)> U> tbn ilriKmU of fitt Qi oil in Itm vnriunn orKiitiiit 

Aa Ihp anilr falty druru'-rution nf yi-llow fi'vi-r la Iti tiowiiw dnrwoitnnt upon ihe 
fuoil of Iba |>atl<'ttl iliirinu Ibp fi>vrr, tlio rliaiiKO ornurrlnK uiili Mplilily ilnHiit; 
nliM>lit(« Mliirvnliiiii.lt U i>t1iI(iiiI tliitt tbo vuly fiiMnlbla toiirfM ul' tbt> nit or fiit uin 
lb»i- 1 III 111' II Ip< I iu lbs |ii<c<ihii^ iii'inlriot. iiaiiiHly. Ilic jirvi-iUtiiiK AKiirifw of llat hi 
tlifi U»l»iri>iniiili'>n of Ibv bctfiufji-Dvuiii nmt albtiininuviii (.'ODotUiirnla irf tbu l>l<H>ii 
mill nrjintii. Tbo raviiicH of tbr liMtcl in tnuuy caie-> am lilk-il witb tjurk fluid bluoil, 
jrllow libroai elol" noniptimm pr«ncDt. Tbo ycllow-ri-vcr blood conlninn abnormal 
nniuuuta of UTcu nliil citcnrliTn inntlrn anil iiniiiioiila. 

Ily tMting bloixl Ktontly illiiilnliiLi-iI in nmuiiiiu t have drlcrmlnpil both by ehcni- 
ical akiklyKUiiwI niicrntpiifiicalcinuiiualioii tlinl tbobrnrt iinrliTjjoi-ii fatty (lei;DncrA> 
Uirii Iu yrlloir fi^vir. Aa fur an ni.v ob<M<rv:kiioua bavn (ixt<iniloil, tbn li«nrt uhil«rgoat 
mum ^•|>l•land'^1tl<lltlll<ll■'^t>ut>latlonl» ydlow f<ivor tbiiu luuuniiy iiihar iKuto dla- 
oaM'. 1'lin M'liiri fatly ib ^riMTitiiaD of tlio bvnrt In yalluw t«\'vt kUouM not bo c«n- 
£aut)ilnl with tlnillut cbniij^e^ubirrrMl iuipiri tdriukt^TH Btulin cr4 lain I'aaeaofcliroiili) 
ilii>nn>i>. Iiutiaiu>ir<t|>rubablj'ito[irndvnlupontkc«iui(^or4oui(>(>liuiiiiml:iclt»ti(i(uitbi>»a 
Iiuuliii-; In a liuiilorrMulttu iiboipborua ]ini»oo>n)[ au'l iu tipboiil nnil tjpbu* favura. 
In yi'ltow fi'vrr the fat U >tt'i><i«il<>d witbin ■»■! ar<>unil tb(^ muxular flb)iiln> nf Iba 
b««rl iu lb* foriii of Biiaiit^ gbibnlna of vurloiia iIim. Tbor* la ulmi nn iilli-rutiou or 
d^purtiition of tint niuiriiLai fibrillin of tJie licarl, Ivailhift lo a (liKKi>]ii:niiiu>-e of 
tbv aliuill'iti. 't liK ii'iniival at Ihc ]>urtlcU« nf oil ftom tbo muu-nlar ■lTD>'lUiea of 
Ibn lirjil li) nnljibiitlr ptlin ilocx mil riatora Ibr oUlnraK*! al(in>, nrltlirr ilon* tbia 
URrot letiiDVd nil IIhi rii"l<~i->ilur (•nttictr", n iioilion at Iru^l lirinic Iiiiiuliibla iu (■llii>r, 
cbtorufonu, uuil 4i1i iibol iiud hiivliij; an aiia]ui;i>iiii (vmnliMilion luuUximiit nixl libtln, 
Knltr (t'fipni'r.ilion of IIh' lirarl in, thnrrfor^, mil lb» nole hIuIi- of tbiH i>i(;hh In 
yelluw favrr The tnolwiilarrhaii);a baa lakvn plu^e in theaubaluucc of tlti^ innai'K- 
Jftr flbrfa &»•! thJH rlianito aA'*rla the alUuminoiil or nil(o)(cu<iit> uounlilnrnta, antl 
^bil iHobably r«|>tMiiula ooi' of tba itaKna of oi>ut« fatty ilfiRcurrntion. Tbe jiMi- 
VUitlnni in yrllow tnwr pnuu-uta a nouKnatoil a|ipriiraur<i. t'lidrr Iba inipr<iiirapa 
tlM mluuin blnml vvMitla upjinar lo ba oongealail with mli>n)il Moixl rorjinwlra. 
Tbn twrlranlla) Hiib) biof niUwp yellow <«Uir. Tlia ipp«aianro pirwrulml by tli« pvrU 
OBhliiini of a oaan of jfUow favar wUlrb IMinlnatnil I'atailjr In.Vi'w dilnuaa AnjEUal t>, 
Uni, la i»|im«>al4)d iu Fly. S, Tli« paricurdlnui woa ]>ut upon tt glaaa allda and 



1290 



PAK-AUGRICAK MEDICAL COSORESS, 



pre««rv«d In Cmia<U littUiiin. Tba ilrawliig rniiiwonM tlio nntiml apprnrnncc of^ 
iiOeetcil Willi bliiwl. I 

Lvngi : DepeaAeot pottioiia (ttonti; finogeiitail. olbNwlMi normal. In miitip cjiim* 
rimiiniMrrilicil «(la»iont uf b]iio<1 in ilructuri** of liiiici. 1 h:iv« in n tvir iiiHtiiii''<'A 
obMrrcd pneitinnntn na a ■npeiniim«r>r]r lUwa^e in yeltow fever. In mit-li ctuM tlia 
•fiatnm eoniriiiteil of nlnioft pnm bloorl. The HupFTvi>iiliun of |iueiiiiioiiiit canien n 
con till n nil nu nf tlio I'cbijla phfiiouiDiion Irafond tlie luraiU poriod of tli« nDvonii>1l> 

Stamarh: Mnni'ia iiKiiibmiii^ nf llic utoiuftcli In niitny eiuTH Internally c«i)|[mI«<1, 
M>n«n«d, au<l rrnilnl. Hlnmni'li orim ^onlaliiM lnig;ii ■[iiiiTiiltlua of biMk viimlt. 
R4<aclio» of btatk vomll "flcii nUiiilltip, IVi-mi tli" priwiirn of nninionin, T«Aii1lii)^ 
frail) tlie ■1i»i.'oiii{"ikiiii>Ti iif iiii>jt, «Iiiiihiat»il l>y lhi> K'u'tr<i-liiliuitln:il iiniroiiR iiii'iii- 
Urniic. Aiuiuoiilu hikI urou ]<ri'««iit in tUo Hack voiiilt rjrcluil iliirini; life. a»il iil»u 
wlinii i>xiiiuiii(^<1 ulimiil iiiimt»liii[f ly nftri ilmdi. The pri»H'n<w oi .'Xiiiiiiuni» in tlift 
Mtomnch anrl Uliivk vniiiit wnv nil tlic iflMilt nf pott-niorlvin p>ilr«litrtivr Dlmiigi'H, 
In iDHOj: Tniirgi u mill oil ill wo* pr«a(-iit iu »urli iargi- ivitioiiiiIi timf. ivlivii ii mil dippt-d' 
111 hfilrot'lilork iicid miu hi>lil otnr lli« iiiiii'uiiit iiii-niliniQc uf ihe Hlomticli or over tli« 
blnrk voiiill.ili'iiiui fiiin«t of cblntidcof •mtnonitim wcrefDiind.iwi if tli^ rodliiiiUirciri 
liolil oTiirn linttlo e()iitaiuiuj(1iiiitid •umonia. Clic^ilt*l SDnlysU rctenlcil tlu-piiui. 
«nc0 nf uiiimnDla, and nlio nf ntva In Uie black romlt. I'lidtt Ihn miirosropii lb* 
bittck voniil I* 11114111 Ui eimtikin rotorod blnod ci>r]itiiicl««. niid clOI* of iIip mucoii* niMii- 
l>nitio nf tlin nloinncb, unit liioknn cnplllurioa. In nomo (iimm fiui|[l aiid lUiriii ««r» 
niiiiivrun* In lli» blnck vomit, In olJiera thny wnin nbooiit. 

Tbiil llio •loiiinob kiifforH ■u'l xnlTim iini-or«l>' In jrollow ftivtv tn ovl(1«iil fivim tbe 
fm't Tliiit in tba front iiinjurity of e.i*M tli« stoinnrh is liiiHy Injoclvd niiL bb"i<l 
and ■.■ifaibitfl. «ven vihvn Dxnmtnoil inmBdiately ufter dcntli.iibrationi uf tbo itiiKom 
iiicinbniii* in pit-lik« fnUlit nnd furroir*. In some i::iav4 lb» wbolu Hnrfnce of llto 
■tomnch is nfTMjluil, and iu utIirM tbn »ITn>tion nnd iiij*rvtirin is fouIIuhiI Ui tba i'nr<<iuo 
or pyloric porlioii, but in «nnic r.ire iiutnucM llie atunuch, Uiiudeiinni, nnd iotcntlnKii 
b.tvo been said to pTcacnt no nltuixt piitirt nbiH^nceuf appr«bcudub!c 1<ulniiii. 1 liavo 
not niyulf, in poat-mortcm cinniiniitiimi, ol»ierv«d the abaonco of Iciionii In Iha 
Knitio-inii-iillnnl niiimaii inGinbr^nc. Tli« coi]g»tlon of tb« utaiuach li tn a rrrliiin 
•lUnt iln* to tbc dii>tnrbiince of Ib« citculntiuo iu tlic line, bat not wholly to tiila 
e»iuii. \V«i miiot, after cin-'fiit cbcrniM] nnd tniercwMpiiin] exuminatlon, adniit tjiv 
exi»laiic<> of iirit.ition, div]n ■mutton, and lunuorr1ia|{«a. 

Thn rtiiiicntlvd spp«i>r>inro of Ibo mncaiK nirnibrnuo of Ibo Ktoninrb nfttr di'iilb 
from yullon fovrr It ropnwMitMl Is Fis*. 4 and Q— Cbarltf lloapilal, Ui-tiibrr. IHTt, 
and Charity Ha*pila1, Novambcr, mS. TlinH) lllnatinlioaa unal b« regnnlvd na 
exbibilio)! Ib« •xliwmu ootiiUttons of ciinKi«lIun ia tli* initcoua ineiiibraiio of ilia 
atooiach in yellow furnr, Iu many oa«M IIm atoioncb after d««tli proMnM Icm cou'' 
Itexllon, and In loni* jiorllona of Iho inncont niMnbniiie ditTvrnut ilpgrem uf oouitni' 
tlon am inAnifsttHl, being mueb greatuc in aoiue poiittona of tb« lutirniin mniiiliriino 
of tbn •toiuB'^b than in nlben. 

iHlttlima: Ah it itvurral nilo tbno vlacarn aro dark roloroilanil dUl^ndodwilbffas. 
In aoiiic eawM tbo r«anlian nf the intHtlnal cont*nU waa atroiicly alkaline tto\u tbo 
prmBDce of amntonla. lliptnuirhBico f^oin tbe iiiln«tiiiiil mnvuiit itii'inbranD bna been 
olHHri'ed iltiTinK lifo, and tii «uvb cnaea, »• well n» lit «tbe(» in wbirh no blnod haa 
been diMhireed pteviou* ta deatb, lli« InlMliiiM bav« 1i««iii foiiiid, in )iu>it-ni'<rti'ni 
ns am inn lion*. ilislmdrHl with blood. Aroiuarknblafaatiiroiuyalluw fevpf in Ibo fVo- 
i|iiont ocenrroDce uf iMliiHnac«ption of the itnnll intMtine. Thn <|nantity nf intM- 
tino invngiiiato) nuRii-tiinca eircod a (I'luct. llio large inteatine und Ibc lower put- 
lioin of the nuanll arc nut «o uft«u found oongotted aa tbe atotiiaob and dnodeniiin. yet 
•n«b nc«iidltinn ia bfnoinoanB rare. Ccmifeation of Ibn veini, veuntoi. nnd iniieniia 
iBORilintiiM ficnMiilly in yellow ferer baa brra refcrml lo Ibo auntomi-nl dixlnbn- 
tlon of the valna, vbirh Ilka Uioaeof thaatoinacbara tribotarica to tbo porlul volii*, 



1 



* 



n 





fig. t: .Vh^us M'-rt'iniHf 




ti./ i '/iii-i/s rnrmbniJtf 
nf.iO'iMruii in Miinrfhvr. 



tu 



Yellow Fever. 




f'ut.n .Ijmrm/rmifZiirr in )fi/ati /rtrr 




/•'ii/.J. i'fTf/lasisi/riin-'/yr/rMrm/rima/'Znrr 




/■Iff » SfietHm Jff Mnpnifin/ 







Miilariul Fever 




/iji //■ /jtrr. HitAina/fhtTJfit/r.Ui'^. 


















|-- 



PAN-AUERICAN MEDICAL COyOREAS. 



1291 



N 



» 



btit we bavn tiMm InrlliM in nuny rkiuw to rngnul the c^B^mlioti » nctira Anil uol 
inMlvo. DiiHag llf* tli4> mcliini Id yellnw IVvei prMriiU iin iiitvuBoljr r«d ami odd- 
lft*Uti mppranace. uii) •ome omm »f yellow r«v«r In 16T8 wen followed bjr Irrito^ 
tton Mtil AMttM of Ui« reetiiiii. 

TIm dMi»(ia*tratt«n which we bi^ve giren, illuitratlii;; the cbnnKcn of Iba DorvoiM 
■trn«UirM aBil of tlie heart, blood, and ulimontnr; cnno], unilor Uicnriion i>r tho yrl- 
tow- lever poiMio el«*r1yMljib1Ulieatbefiict ilinljellowfi-'vnr hn«ndSiiliii<itiTepnliii>l- 
00. It is DMHinarj Ibiit wonlioald piiriui.' tliia mikjixit to the rnf\, nuit Indona oiir 
ptop«Mtlan bjr *o *ppeal to tlio rMnllii of microncopka) nnil rhKiiiicnl liivFuirjcii' 
tiona of tbe p«tiiologioal leainnn of otlirt nr|{<iii>, aa the lire.t nii'l klUiii>,v» la yellow 
ferer. An itocnnio ronipreliciiiiian of tlio pitlioIo'jU'Bl nii.ituiiiy iil' ilic liver ill yel- 
low lever i« ntpcptully imiioitant, lu we are oiinlittd toMtiibllHli in llio ctraiwt man- 
lier the moat maikcd dlflTerciicee between tbo piitIiol<i)|!lrii1 nuoluniy of follow anil 
ntaluiel fovnm. 

t,tnr; Yellow iiinnliiranil blnodlM*. reoptiiMliii: tlil*orKiiti in ruttyili.>(,-i>ii>.-raliDu, but 
firnMrand densci iii atiucliiro. Fig. 6pr»M>iJl« Cliegi.-ni'Tal aj>iie;ir,tiic« of lh« yellow- 
(ertt Utst. The •pMimeu wa* toksii from a Hubji'ut Id tlie Charity lIuBpilal io 1871. 
ri)t. I illiMtratea tbe apjieiiraiiee of tbo liver in n ciuo of eirrbotia. indni^cd by aptrit 
■IriDkiDK. wbifbdied in Ibe ftttraiinnb Il(i*|iiul in ISSO; there nnauiit only oirrfaMU, 
hut aUo fulty do-^ene ration io thin cwl>. t'ig. 8 repivtwota the nppoMaaee nf tho 
Drnr in n caec of yellow f«ver ingtiincil no iiiAlurinJ fever. FiK. fl repruente ii por- 
Uoii ofuenrtlon of tbo liver flKntcd in Xo. T, ninsniUed, ■howhiji cnn][c«tJon ofpm'- 
tftl eapillurln* with plKmniit ditpoaitA, and tbe yellow, fntty, nod drfetirinlvd ronlral 
porlliui* of ilio Uholea of the liver, Tin- K' pniMiite tho •ppaaranco of llio liver in 
yellow fever hifn^fted on nalarlal fvrer. Tbe bUck, plgmootary matter nltere tbo 
yettuw nilnr ■'bnrit^teriHtlr' of tbu yelluw-fevar liver. 

'I'be premliiiic H);iireit. rapri-aoiiliaj; tiM appenraneee of tho liver in yellow fever, 
alioiild be ciiiiT|>Kr«l witb Ibe follow ing; rlgiiren reprenriitiug tbo uppourance of tbo 
llve( III iiuiliiriiil fever FiK. IliOppcaniui'euf the liver in Ibeiicuteiliigeof nialnrlol 
frvar. blUotie rcmltlent. Vig. I'J, appearunrD of t)i« liver in Diulanal fuver of ton^er 
■UHiilliig. Fig. 13, eppnnniMre of malarial liver landed wilb piitmctit pnrliolea. 
Fif;. II, aerlliin nf iiuiluilal llvM", allowing pigmeiH depnull, ninKiiilled by I tnoh 
objerlive, ll<TI. Iti ull (he d liferent fumi a nf malnrl^il furcr—inten nit tent, inmitlont, 
Mad rna^feelivo— wbieb Itave ennllniied lunger Ihun llv» day a, and In wbich there 
luvd been no previoiia alteratiuiia of Ibe sUtietiiiea, oa in nrrhoAie nnd futly 
■legtiiierelion, I have found tbe exIeiioT of a tialc and llie Interlur of n lirnoxo color, 
•a abown iu flgn. 11, 13, tS, Mul It. Fig. — re]irMpnti» n iTiBgnilbul poi Hun of the 
aeetlno of * malarial- fever liver, abowing it dupoHiC of pigment cbielty in the portal 
eaplllart** in the periphery of each tobnle. 

Under tbn mieroernjie the teiinrenuf tlie yellow. fovet liver are tnll)tr»ted with 
nnefa oil. Tbeaecrelory eelU nf the liver are thnii abo'«n by luirroncopiealexaininn- 
tlon to eimlala iBaiib oil. The liver nf uii com plicated yellnw ferer. aa fur na my 
obeervatlonK oxieiHl, nnd nr<<intliig In tbe nine tvii tiona of I.uuia nnd miiny otlinra, ia 
of a bright yellow enlor. It la prntmiilo tbnt Ibi* color. •■ in tbe ciuo nf tbn mala- 
rial liver, voTtna nith tbe lenglb of tbe jillaok and the clTecia of pruvinns dinnnae*. 
Thiie, Ut. {•oniuel Jai-k>i>n, uf Fbiladelpbia, fonud the livrra of tbnan who hod died 
\m Iba Milj elag«B ougorgeil wllk blood. Tbe duct* of the yellnw- fnvot liver are of 
Agolitutt yellow color, while tbooe of tlieniaUrlsl liver are ofabrowiiUb-ynllon color. 
I'be golden yellow oulor of tbe yellow-lever liver cvMi be ali'.tracted bolb by akohnl 
and water. The yellow-fevrr liv«r ia (inner Mid harder tbau Ihnt of mnlnilul fnvvr, 
enotntna aiurh lea blond, and >t macb Iraa readily avted an by lienor poiaaaw and 
nilnoral aeiiU. I.i'ianr potaaaie roilily diaaolvea the malarial -fever liver, llie deooc- 
tjon prnaenting the appoanuice uf veooua bloud, wbile no sucb effect ia produced bj 
ibia albnliDe aolutioti opoa the yellow -fever livet. 





lUiiHtmiliiKl1i?l>alboIoflo«Jiirijir'>iiiv<-irwiv--lTtHi 
U-lHorii ..tiilliiary fatty flvtf<«ui-(nlion •■/ 'In- L 



I '•y'.'Y lummtktii of Ihflhvp 

III' ■niT.irn' in yHli-fW fv*rf Tin I* 
r LiL ,1 iiiiK|i'ntf4< ili-tfr**^'*' A*hiiii>**' 

• I ilii> ^ilMlty -if iliv hiiii)<.'ti of ib>^ 



mwiT o( ffliiif 'lp-ir>-rt^r>lkiTi. Tli"* ^'Hk ■ ■ 
the iii'Al pn't Hi iiiv wr\Dhi'iy -rf til'- ]• 

n>nnl Vi'luH ¥i£ (U- fcx-Tioii "I ftj-'llii'i -™-— , . -,- — -, — ..- 

iJllCllv- pn'Ji^ni'*' i-pf i-hil ^]i»hu]t-A Tli'i i-,inUUn-^ -Jill rnitiini" liloi-J i-P>rjiii>ta'I>*< Tli'' 

f*ii4f*t h>" n nii'lurp ot rho triiDuf'- trim Jtr Ur^-rr oij^LTlniin Tii*- jclaniliiLEii i.\) 
uiil inii«4'iitJLr Iftvrr rB) of \hv ii»tJi;v<ii» (Ufiiilimiic- mil flb<* kiiUiii^LiiHtij* t^ prir^p^ct- 

lO^r ivj>i-%«w<nt lli-Hf Htralj^til t"«^|4 rHtrL»i*il '*v ih*^ v.\ri-»it ra-\U'U^ nrlpilTik' U-otn 
llii- lu^worli "t lOfp* cniutlnth*! tir(U4Tti ftii? t7|ritlu>UuiLi. uud ■.tirri'iiihlllii; Iti* 
tiTlflov of ilie icm r\c ifluiiU Thr iM« *n-u i liroiitfhuul (he iiMiM^nlar liiyt^r nr-jHw- 
■mC tnumtiviH kfl-rituu* uf iihuncutor Sbrlllw iiiiaimlAtfd -'XJ iHjiuLKtrntL mhrv 
H. D. »cliuiU1t.U-l>> 



pan-aui:r]cah urdical conokess. 



1293 



' foniiMl I17 m IniiNfonauUoii of tli« ]>mln]>ln«m of Iho llror Mils. Tlia fat ilrupletn 

BIO, flit llic iiiMt jiHrl, c<<ry viimll iind AhunilHiil, Iliunj^h l^ia U Ity uu itii^aiiH c«ti- 

■liiul. F>tty ■li-;'<'iivmiiiii vt the IiTer «HIii rrtMinentljr fuUuws, nntt in nniHicliitcd 

witii rlniiiljr nwDlliiiga in Uio vHiyiiit; rauilitioiis in wliirli thny omir, or ll mny 

ft|»p«irfB |itofoiiii<1 nnouuin, and iu tlii- cxhiiuitoil cnndiclon of t.Lir tmiii.'kii H}'»l«in 

ciaiM«<iiH*iil iipiHi the proInnKcd nrtioii of tli«i mularlnl iioinon. 

Ttiv aruamiilntton of fat In )rllon' fnvnr appiinn lo bo ilao bnth tu lint iU'K«uera- 

j lion of Iho prulopln«tn of tho lIvMr fxllHaiid lo inlilTnlicm uf fnliy mnlt^t, Hy 

ras«arvlii<a iiixiu lUo fatly tU>^<<n«TikUuu« uf llut livur Sn yrllnv fever liuvu l«il to Ihii 

IWIlowingooarlii^iviiN: (L) Tli« nuiHoiilar tUnuM uf Ihi! ticart nbow uoilot Ibu micni- 

|Mi(^, kiwi uuiltft tliv iiruiier chi.-niii'iil tttta. rn|ii(l tuuW'iiliircliunjie iiiiil fiilty dusnu- 

Pntlun; (3) lli« Urrr pi'Ila pxliil'it nipid (li.'-,;euoratiou of the ]in>tuiiliiiitii of tliMo 

^nlU and titpiil iDDrrawof fat; 13) tlio alliiiiniiioid clitiunnM of the lilooci iiniii^rifo 

tniiiil dPSMioriitiaii midrftpid tniii«roriiiatii>ii into fnl, iind'^T [lieiirllnnof tlm yoUuW' 

fcvM |>ul<uti: I nM< Uif. irnu ''niplifiit cimlriiilktliii'ilini in lli<> hIow (imci'Mof 

tbi' ilevptiipiiiRUt i>f fat Iti III" iiuiiiiii! CDiiilll^niii ih it folliint rii>iii Ibo ptucvding 

pT<ip>Miti"n» lliiil IliK aci'iimiiTiiit'iK 'if fiit <Irt>[>li't« io tlir liciirt uu<1 livei iii yi'llow 

feiiir iBHy Miw^ (rom u rlirinii'iil ■'h:iii);« of tb'- ulliiiiiiiiuiiil pruluptiutm uf tlie lilood 

and of tliv <<flla', (5) tho iimrciiifiit of Tit loll ilhi]ilvls| iii tti« I1I001I in ilie heart 

and In tbn liter of irfllon fever » d<i« to Ibv iliii'vl rlieiuiml ai-tion of the puiMn 

of yallow fixer in the nlbdmiivii'l pialiipliiaiu; <A) tb<' I'utty de^ifiivratiDii caund 

liy ■III' yrltuw-fcv« |H)ii"'ii c«LKti with the ootaiitjon of the nctioii. iind elimiunlUin 

tuid di>«tiiirl><Ri of lti<' uii>rbillo ti|t«nt. 

TIm dogowirutloii of the pratcplnKni axeltod by tho yellow-feir*r polaoti U traipo- 
niry ooul not poiianiiviili (Tj If iLn fnlty doicoueratlou caii*(>d by tlio yollow-fuver 
]iotHiii w*rv iHUBiiuirtit, mid If lb<' flinDicm tliiiN liiduu-nl by tlio yivllou-fcvor pulbon 
«*n> an nliiiliiig mid |ir(i)crc«Kii'o iloiieiivtiilloii, wii would witii('4>' Ihu oHei;U, und 
Uie patitiiiiiotiii smi dralmctive vllVi'io, of t'lilty iluKouvmtii^ii ul' the livurt tieaiie Ha 
lb« aMpieliB ta luaiiy caaon uf jeltow fovec. luuiirex|>enuuuesiich eJIertaureiondily 
bUTtabli- In Ihe yiilluw-ferer poianu. 

<MI Uaif-Irr: 'I'bir Kull bUddvr la yollox fever ia, na » tpiiivTnl nth), contrttoted, 

Aatrlil, atiMll, mid cuiiliiin* litllo i>t no hilc. Ttie siufmnt of bito ilucn not gormrally 

pxorod ion trraltiL In lualarljil I'nvrr, on thouther hnnil, thoKoIl I'lnil-trri--, "sosun- 

vral rnle. dktieado'l wllli 'Imk uimiiHh bWh bile. In yellow fovec thct vomlltiij; ia 

rarely blliouf, iiidcsw lt> the cnniinc'iir^diieot of tho dlMOMi, iind tlir bliu>k vomit eon- 

UlU* little or no biliary iiialtvr. 1'Im aitinll Iiil4t»llii(»t an ramly, if ever, dinvoloruil 

by yiH Iti yullow feriT, while in malarial fnver it in uonimon to llud tbe );HatiiD luueuLia 

BinMibiabo diMolored by bile, t huveoluef>uil ciLMd In wbii'h thexiill bladder ron- 

tolunl ooly a aeroaa liquid fuagulahlo by beHl. In two I'luu* a derided liriuorrlinita 

hud laknu placn Into tlie riiII blnddor. nbloli wua dintitudod with blaok blood. Tbn 

bil* in fallow fnriir <*niilalt)* niinK-iona reltn l^iu Ibo aiiieoii» nirmbmiin of Ibe gnll 

bladder aiul rulA ol Ibe liriatlc dncU. 

Sylttm: A* a i;vii«rAl riilu lbi«or|;aii in but "lij^hlljr enlarged: in many vh"i<*i iiortiinl 

I la aliaand appeuiuiKe. luiunoycaMnuf yellow fever the fipleeiniineilhereiiliiiued, 

[•uflutBd.ur ulii'ted iDiip|i«irauvcrilbvruiiun (he exleiiur or within. There nppeuia 

[Im ha uu apeutul BlIiTttLini ur deBlluvlioii of the nulnied ifirpiueK-H iu the aplren o( 

I jalluw fevrr »■ 111 thut of uiaUrial fever. Tba eoliiij-eiiieiit of Ibe niilH-ti ill feveva 

I ilim liitl, frotii Ibmrolxervativlla.dcpeTiilupnll thcdiuiiuutioii of llbriu, bevmiar UiN 

' BlaMrnl of llir blond In dlniioUlied to a iiiiieh i^oiiler oxicut in yellow fever than In 

Malarial fer>'>, and at (lie *aina timii ttii^ spli'on I* oiilarKnl t<i a jtreiiler itml iiioro 

urlted Ar^trti In tho Uller. Anotlier futl worlb>' uf ennnlilrntilmi In tlil> <aiii>oo- 

MnB U, Ihiit ID jiillow fevM- i\Ui blond riitpii«elro luo not npermlty dtniinUlieil In 

iHoiiBl, wbila In inalarUl fovci Ibuy ai<o rii[iiiUr dratroyetl, und thin dntrvclloit 

•www 141 Ua ifmlar in Ibo Uv*r nnd in Ibe spleen, in rnulariiil fever liotli Uiimn 

1 •rsaaa «r« loailoil with altemi IiI'hhI (orpnnelea nnd with tlte ptKUientury |[rnnnlea 




F/C.IV. 



Fic 25. 




teVK 



MTHOLOaiCAL AMATOMV OF THE KIDNEY IN BttlOHT'S DISEASE AMD YELLOW FEVEft 



PAK-AMEB1CA» MEDICAL OOHGEEgB. 



1295 



fviwl ocoarwino «f nlliuuiln, coiiU, •iHArboil oolh of the rpKlielliini of I1i« urinlf- 
•(iiaa tuliiitr*, Aiirl oil Klolfiilot iiiiU i-TiiiiiiUr iuiitU-> in tli«i uriue itr .vulluw fuT«t. 

Ki);. '£!. Inll.-iniiuiiliiry ilitiHiuii nt llriubl'H il ■"(■iihh. Briulit'ti iliiM'iisr, Tint atllge. 
8i>i-tiau of iaflaiueil kiiliii'}', llrigtil's ilisuMis TubuUi with (.•iiitlicliiiiii iu ailu 
with nlunil)' awelliiis. wrll hIiowu iii lmusvi>i*<iv »('li'>ii, Uiilpi|;liiiiu biidy larflw anil 
ufiNi)!!!'. iuiiKtiJf><--<l IU)>liau>i.-tets. Tbi.' iiilUiumnturj furui uf tlri|;lit'a iliflcaMi iiiuj* be 
dWIdoiI iutii IbtnoatJ)!'*, <.-iuliclittnKtciucdb>-Tury (liiitiuct kuiitauiiv4ilcliunu;l4iri: 
(I) tli«l(>f [nllBuiiiiulMia; (2) Itint of fjitty trniwAMumtiod: und (3) tlint of att»iiliy. 
Vi/i, t! rriTntciiU an nii|[ir|!*() vi«w of ttin tiikiiW iitiO iHiiiiK^lnniJ iii Iliu miigo of 
inAiuiiiiutiini In llrij^lil's illMaar. In Uil» HtAK* tlio kldtiuj 1* of ituriiul «ii«, tir 
•nMowtial Iuri;ur: lia cajmiiln in iiiiullt-nxl, ami strip* olT rnudllyi iU »iiiAici! in 
■moirth, aiote or hwi rungnlwl. uft^ii piiik; il is koiiimIiiim iif a tUrk |>ur-|ilisli i-olor, 
HiiintiiiMAiuoHM, |»Il>, ttud v'"'!'''-'' ^^ "'^^livu tli» coiliiwl surfave ia rolutivoly 
ittnrMM«d in VDlunie- ll la <ifl<<li fDii^cati-d, Ibe .Mitt)>if:litAii burlica HUltiUiii|[ out 
|ir<iinli»iitty fnxu tlie ■urtcmmliuit tiuuo auil iIil' Gutigvahsd v«iiifIn animrntml bjr * 
^Vflu)t aaiunnt of white frntim-vbiil iipaiiiio ilopuaiu, compofod of Cli* kltored 
tubulto). 'rlio vaMular ■jincr* tmtwcrn lUn coiiiw und tlie coitlcnl •iiliKl-aiiui.' nni 
nuifonall' dlalonilpd willi liloml; lliu«<>iiiu< uiu luunlly roddfr th.in iIm' cortical aub- 
■tniifr. au'l from tbn «i:)^rgui<Hit of lbu«o vMaalt, and tho altoioil conililioii uf tlimu 
lubu]'*, tlHij pr«a«Dl n wrlca of kltenialing rod and wlilt* line* vouritrijiiig tn tho 
at^X iif (h« ooDc, Bt irbiek iioiiil Ibo wiiile diilinvtty )>r«<]i)miaHlM. Thu pHvi* of 
tba kldai'v ia natuniL Od niiuroacopio examination witb u low power, tbx ooo- 
HMtlua uf |Im> vrmcU niid llio alteration of tlie tubuJM butioniea luciro dittiiirti ILo 
VMWek an for Ibf uuut i>art e^SDrgcd tritb bluod. Tli» Malpi];ltii>D bmllM uppoM 
M If injvdtrd witli ri'il snntL-iUl, or, vtbit i* iiioco common, Ihi-y njipoar dvusi: and 
«p«iliao, of Ml aotiMi ffray dqIm. In tliu oiullott iicilod of Iliu liillauiiuatiua Ifaa 
turaiM' eoiitlllion iivctir*; iu Um tnotu advuiicnd iiorloil. Ui» lalt«r. Miiny uf the 
iiibiiUs, mtiuclBlly liioM of ibe curtji-ut Hnbtiuncv. ajipuat tlurkur und dpuaur tluta 
uatiiral; Ibcj' HunivtiiMu Hpiiuur aa solid liudiM, aiiiiii-liinua an liibM, wilb iLinkiTUMl 
uhI MiiDoniiat opaque nalts. lu tlie i-ruupi of tiiliiitiHi puaaiiif; duwn towinl Ibe 
eenwa, and In Ibo coiico tlieoiMilvM, iii<lividii^ tubulta keiv Hud ilipte nrit alTni^tAtl 
Ilk* lliiwo of tlio cortical niiUitiiiice, and conlraal alrikinitly witb tli<^ir tiiiit;liUor« 
wlilcli ai« unall'iM'tMl. Ou aiamiuntion with a pon-or uf liom 'JilO Co 10()diniiK<lera, 
tbe Malpigliiuu UmIIm a|ipoaT <touNi< and KTiiuuliir. luid vliiiii tbe tiilxM eipaud lo 
fvoeivo tlid tufl of T«(BuU,avolIuu 4nd j^rniiiilur iH'lU luay b<\ mcu. Tlie lubuloa mo 
tU>>io bulk; llua uatiual, Ibelr opiUieliuai ia awollMi, icniuuliir imd deu>«, tbo <ell 
wall li»liattD«t, and tlie nucleua fnetiueully impi'rwplible, Ou (^uiiuDing a tr,iiia- 
VMB* aui'tiuu tlio enlorgeineDt of tiio epitlieliuiu b««oui«a very niiparont, for tlie <«lla 
are Uric« and Kranalat, and Uto lomen ia (ttuully roduowl or ultaitotbitr loat. In thu 
tiibul«a, wi aliurvd, a tiuiiapuruBI bouioseiioiia CBBtorlal U freqiioiitly aoeu, wliiuh 
fllla B]i llic lutuuB of till) tulMM, IMid btiiila lv;,'«lb^r, «o to *]ii:ak, and <,-Mkea into ono 
uooa tlic opillMlliiiii uf Ibna* Inbolra; not titifiiT-|iii:nlty blood oorpiiaolva are owo- 
olalml wllb tbii uiiidnl matter, ■• 1* •iMinn lu Ki^. X!. 

Vig. '&. Brif-br* di*oM«. luduainiatoiy form •ovoti<l atutcit. tteetlon of kidney 
In wMBDtl ■tn);r, inllnniDintoi')' form, nbiiuint; Ibn fatty opacity in Ibo tiibulii akd 
llal]>lKtiiau bifdica. fntty tnbutca and Ualpigliian bodica ia atAt-u of fulty dc|-f nnr- 
kUab tiu*Ki>illp>l ^*3*' diauii-tun. 

In Iko atage of fulty dr)teii«ratlafi or trantfurnulion. tn whicli Uim " lurKn btty 
kUn*)''' !• eonuBODly applied, Ibo ii'UBmmnlurr prorOM biia \\u*kA. away, ur. m la 
Mimranianm, boa Iweoino I'tiioBln. But It* «ff«Ota PMnaln. Tbo organ !■ voUrged; 
lb* ntpwila U nalural, eaatly tlrlppnd off ; Ita aiirfaca la aniootb, or allgbtJy doprMaad 
bore and thera. It ta |t*to and Alty tn rolur and on lla anrfluv alellnt* vesMla are 
fratfuiintlf cottvpkuoiu. TlioMikir l»pei*nllatly tuutllod from (licmlti);1<ng«f opuf|uu 
aab«M«iua-loukiiig fatty purliuna wllb IbonbiliAli. iitorotrnnHloofntrtwnesDatnrnllu 

I BTIBO. Oa •PVlioB ttia uvrlival aulmtdBi'i- is pule, of • } vllowiali wltite <:aUii-, 




FAN-AMGUICAM MRD[CAIi CONGBKSS. 




1296 



nnd iniTTiiiiril in v<iliinit>, wbll* tha conM nn piuk, iiuil of iiftliiml color nod bIm. 
Tile Silalpii;liUB bmllM Ao uot [irD|nol prom Jni'i illy, a* in tbc llrnt iiUgo. Ou el mr 
mt|iiccliaii the MbHoei>iW'lookliiK pnrl« mny bit airra to conctponi) (o ilitluiKltvl foii. 
voltitfltl tiiliiilH. iiQil nut inl'iv'iiii'iitly lini-n of llils miiluriitl may bo ■•'■'Q ninniiix 
ti»twn<n ttio uimll nrloriu tuwurd t1l(^ •-'■»■;>'. On nilrroicopio rinmiiidlimi wilb n 
low powor (SO ilUDiut«Tii), tlio lubiilei aro sucii iii iii»ity pnrU cll»ti-ml«<1 witli n bla<-k 
nntraiMiiitrcnl nint<4t«l; tbU U mimt iiiarkt-d in the r<iTii'u]ut«iJ tubulin, liiu iit tii« 
eirnlicbl tiiliiili'*, linro nntl ibonv iiidiviilimli ur gtuiipH may bo fuiiiiil iiirurlnl. Tlie 
Unlpij^liUii lirKllra nil) onlnricrd. but ui>t piuiiiitient. mid wliUe thry miiy bo DuvIt 
griiiLiiliiini<v<.-ri»V8iiii1. any l>lai-k niijit^nrnurr of tlir tubiilf'n. iriidorn lii){b povorOQU 
to tifO iUiuuet«tv), tup (lidtiMidt-il tiibiit(i>> nri< found to bn filled with Tatty Krniiiiint, 
wliicli Icir the nioit piiTt ttr« cutituiiii^il witliiii Hie wiilU uf r|illli(<ll»l (vll*, whirlt 
■Kiiiii arc oiiib<Mldcd in n niaterinl Ihut b1-iuk« up the liibniw. Tlio liibe«, liowovcr, 
nr« roiinil to bn irtr){ii1nrly dinleiiJi><1. in xuiue pitrts mvioli diluli'd imil in oUirrs 
ndrinw nnd of tbc niiturnl caliber. Iii tlip Miilpi(-liiaii Imdipnoil iitxl fiiUy pclli are 
fl^itiiNit, l>iil the Rnplllnty tuft i* nnvh[iiiKvd. I'lie piirta iii nlijcb tliu (ulty i-Midi* 
llun i« ii'i^utliTil by r.lin niiciiMmipn cnrtvipoiid to tlioui in whicb ibo ilcn*»-l<n>kijig 
iunt«[iiil I* viX'ii by thi* nnk^il 01 n, n* In Via*- ^ nnd '13.' 

tlC.^l.ii vert iviilnuctiuii Ufa yvllovr-f^vrrkiilnoy rrniniii'ar IhfMiifiKO. («}Ali(«- 
minoid ryliadcm. Tbv vpitlielinia of lite uriiiireTons tiib[iIi-«. tlie baaemcul mam- 
bnino, an<l tlin s'i>ti<i)i>* otnl'dl'lc'd iu Its albnmiuuus «iibBtitu«e. urv ul«odt*]iliiyMl, 
innnnlllod :nij<liii motion. I Pig. 2A. line uriniferonKtnbiileiteotitainitiiiitinetiTnl kind* 
of tnfaTrllunik ot tho yullow-feviT kidii«]r. (n) Albumlnaid Djiinikr wiUi epilLetial 
mIIs, and thn ivinaiitliiic (VBtiincnlnuf broknnHloirn oellnonibiHldi-d In tboitlkiiiiiliiolil 
»ii1i«tsMe<<«; [il pplllielliiiu; (r) l>Mcni(iiil mtiinbinnp; (rl) niupty portion of thn 
tubule with eclliilnr li*timvi; {r) rviniiusof Tiu<-I»i atii] cidU insgjnllieil L'35iliuuict«n, 

In the yelluw-fovor kiUa-.'y wo observe a de)pMi>>ratiuu of t)ie ]>r<iTi>pln(im of the 
epltlielial (>uIIb liiiiui; tlie iiTtnifrmuii t'lbnleo. This <tei;eiieTiitioii of (lie prutoplum 
of the reual exeretory colli is. vithoiit dutibt. pivceded by liypencmia; but IkU 
kyponrniie rouditiun i>f ibe ron*) iMijiillNnv* mutt uot 1>c reijordad a* the pfuiuufor 
tiid aole fnuno of tbia cau-li(i»n. Tile priiiiniy ■-''■"■a >» to lie fonud Id tbo aetiOB of 
thtt ■cplina-,;nii( or fntniuiit of tbo upccifiu <<ontii(iiuin of yollnw fevitr upon tlia proto- 
plnMU of llio bluflil and nf all tbc autlvo cell* of tlin ort;anUiii, liidnillnif tliote of 
tb« llvor nnd lb* benrl. 

In falnl iuibm of ritllow fovrr tbo hype mi 1 1n <if tlie ntnnl vMiels Iiim liero>iu« 
grrally ilimtni*hoil at tbe tiim> of dentk by the ikij^neratioii of the pniluplfton i>r 
tbe eXL'tuloiy RttneturvH, by Ibe low of blnod Ibniufih tho fttumnrU •ulA lio«ri>U, awl 
by tbe atuir but prO|;iet»ive aoeiimnlution of tlie ifieut muai of blood in tbo lar|t« 
o«Dt»l blood vemuU diitiu^'tlifiliul liounof life. Wbuo death ocaum In the arllve 
•luce* of iiMlaiial foior th« kidney*, on Ibe otbi't bund, pmcni*, inoM (^cnerBlly, 
a bypcntuile condition and aio witlKiiit the fattr tli-;oni'rHiiMi of tbn pareiichyina, 
M Htmncly lajrkrd in the yi-l!c)W.fovcr kliliieyn. Tlie deKriienili"n of the hliln«>yK 
takinjE ptaro in Ilie runul piirendhyiiia dnrluK yollow ff^ver d»e>i nol n>s«nililo in all 
rttpret* tbii fntly drici'i"' ration of the klilnofaoliHrrvvilin pnri'ni'liyiniilouii »i't>brltb. 

A nnialwrof inrar(<(li>UH found Iu thoiirinifeinni tnbnlea during the ■■ootm ofyal- 
law fev»r re)iT«teut iilbnininoin rylitnlert, while olbrtn rnDniiit of th« miMlna tit 
dieiulrgnilvil Vpitlx'lliil (i-lln, 01 ureeompoiiod of both. Tbey are mel with la all 
portivua of Ibo uricilvroua tubulei. and vary to tbirlctiiMw In r»rrr(ipoi;dvii<« vltb 
lliudiauielvTsoflhetr canal*. Tho larfical am louiiil In tk»«iHroliiti'd|i'>TtiiJu*, tlio 
•o-eulleot tubnil eoiitocTtM, Rud In the Inteimfdlale mnala, vfaii'h tliey lVei|ih'Dtly 
HU up Uirnugb Iboli ofitlm Ungib; In tli* il">cviidir)j; atiil oMeu'lini; body nml In llio 
MlUoUnf tubulM Uiay ar« f-eneraltj enullut. The miinbcT of Ibov eotU and lb* 



I 



•UricM-adttMHar Um klilMj*. 
* Ulw IL r. Bthnlilt, U. U. 



J.OMna Hann, U. U^ V. U. li., 34 tit. r la-tt. 




PAN-AUE«ICAN MKHICAI, COSOKESS. 



1297 



Vitnil nflbdlr AlDfUnn, m w«11 as lh« oxtent ADilnatareof tbepntliolofpi^alcliangKii 
of th» lciiln«yii, will il<>|hMii1 upon titn ItaiKtli niiil rdntlvr ottrFrity o( the dUi-nnn. 

CVta^rji Uxlikr; At ii ic"'*'"^' "'I' tl'<^ l>l>trl'lnrciiiilatiii> llttir or no ml no in yrll'>w 
fcvM. Til* arltio l«i>rii tii:l<t ynllnw mlor. wltlmiit. nny rryiil.illltii- bniliiv, .iixl loailo'l 
wlUi nlbiiniin.^raiinlaTlilitoltl iiinil^ir, nr«toi>rnmiiiniiln. ruiUor (he tnlinli iirmtreri 
■ail rxri¥l'if)r («||> at tli« kMii«;». In »aiiiv ciuM the iirliio U vntlroljr aupjirMaed 
r<ir »• tuiis 1 |>cruiJ aA forl> tiElit hoitn liortiM dculli, 8ii long aa IJie ki(1ii#yB pcT- 
form Ibpit fuuctJuuB rri'i'ljr unil rr);iil.'krly the patient may recti v n r, ewn tUAiij-h 
Ittack vomit iiuty bavi- apt"-'"''-''!) I"'' ''' l^*^ nvtiun of Itii^ kiiliioya liHa b^en Brretlpd 
by uttnrliiril rb»nfin, 'Ualb in tiiL>vitabl«. The (uucikib meinbratte «f Ibe bUddci !■ 
ofUin CMixcalcil, luul iii name eiuca cctbymotic. 




THE NUHUER OF THE RED GI/>HULE3. 

Br Dr. JOSB O. BKKKAXDUZ, 
Prtfuar Jm U UniHtiiilad dt Amwof. 

Tbe rlnatfeal works on pliysJaloii;}' fait to niualtou tbe iulliionc« of latitude upon 
111* MDlNbor or r«il corpajtcU-i. The mttlior hn> i-udvavrMt to iitudy IhU qiioatioD 
In Um Irvplni. H« ■Uttnil to Dnd tbe phyHiuluj{icul niunri of the iiiimbrr of red cor- 
IimmImIh tbv linbll^nUvf CatRCM. TbolntiCnde of tlie city and cUvntion abova 
MM lovel am |[lv«ii. llMiltby IndlTldaala, moillcal atndcnlii botwiton tlio d|[«* of 16 
tliid 90 y«ani, w«ro etiMon. Twoiity-llrn contiU wnrv mntk wltb tho appiiniliia of 
Nwbnt. Tbfl HMisB Dlit»lii*il \ytr ciibk inlllltnoUr waa 3,2IT,0U0. Thn iiiiiiiiiiiim 
was 1,800,000, mid Ibo luiiiiiiiani 3,810,000. Tli« aniouDt of iir«a atirrrtixl In iwoui.y- 
fimr Imiiib wan Aibtu iiirMtiptted in «U ckkhh, obtain 1 hi; h mi^un of ^1 giiiminiyi, witli 
Kltf iMsa of IS aad 25 gtMuuiM. Ttiia olrguryUiioiiiia i« txpliiiiivd by the tbeury 
llial llw ftim-lion of Ibe led.btood c«Ua i« n»|iiint«iy iiuil thitt thv piotow of oxiiln- 
tioB la tircntury to kfvp np Ibe bodily tempor.itiirv. a fiiD'jIioii tliuC luilit bo l<M 
• <tlTBWlictvUioMrroii»cliiig toiiipotatiini ia iiaifonnl.vbiti'b. Tbt- iliiniulibcd nxida- 
tloH of llic tiuim icK'ilta in a diiiiiiiinbcd Kii^totloii of nipu. Tbu ataiL'tnetit, ortfti 
npealMl, tbac tlic elinut« of Ibe trojtica la • producer of anwmia, la tlioa couflrmod. 



LA FOItCK MtJSCiri.AlltK CHr.Z l.KS TNIiIEKS. 

I-Mk Dr.J, II. I)A I.AUKKIM. lUn da J (Delra. llnilL 



rl/«n croli ({■'a^ralniiHiiit i|no In* liidlenaaoiit poQrviH> d'noa tr^aK'■t■>d• forcomna- 
niilaln. Nona avotiafii una oxf>rll«nl« iiccnaloii do thriller etmiblon /(all inexaet« 
rati* anppoallioii. I'uodant l'eipo«ltioii niilhiupu1a),'iij*ie do 18(13, ft Rio, oe aont 
r^nui«, HU II aa^ Nallouat, dm rrj>ii!(ii<ittanla d« iliveioi'!! triba«, artivriado rint4<rieui 
lilt p'lyii. Surciix noiia arum iuatitiij dps eK|i4rivuvvn nuuibcetiaeii Hi rtpi^t6eii, par 
•Mite it«a()aeUea il nona oat r«aM La coavictinuqno K'l IlutociidoB et twi Cbrictitea 
imtNtie fores miiK-uUirB Inf^rieiire It In mo.vcnue ilea jiidit-idu* ndnlm de la ruco 
bUBclie et da la Tiir« tiMre. Nuti* nvoni cmpluyi* le dyDaIn<lln^lrc de Uatbleu ponr 
ei>t*KUIr<:r la firre tmin'ntiilin ; itt oon* un rarnna oTupulatii'i) qii'ApTM iiuelnuj{iin 
a'rl* d'eamla. Ix^ pliia fmta dn> tiidlni* n'oiit pu iiiii|>i>rtiT rnlKiiiIln aii-iloU ds 1^. 
^^ flaiMln imintde vite dii dflvnl.ipi>«iii"ut ilea innaclea 11 oal cororo iioUblii I'liifilrlo- 
^^B vlUd* Ma Indleni, comjiar^ box n'^gn-a. I«itr aglllW m( t p«lii« reiDnii|iintile 
^^V puareactaln* iirou|M« de miutfllre, Ii>Ti||;iieRinuI Mn^n^ dan* Texerdoo de corlaiiia 
acta* qiil fiiul pout nInM diro iine purlie iDt^rant« de 1«ur vie •aiira);e. C'nl ponr 
eel* i)n'kt« (Oiit Uf* ajrilaa dan* le mnii lemon t de Viit-i. En deboni de (■>• Ha out d«e 
■iHivaoiMita loola, j-atcaaeiix. Nuna n'aroua pn emuyer Kir enx In roime; iiialgni 
eela nooa no doslon* paa n^'U aurakut aia^maiit vuincu* pnr le premier veuu d'aa- 
ba ran. 

8. Bx. 36 »3 




1298 PAK'AUESICUf MEDICAL COKGREfiS. 

I.«i[ir mifmoim auditive, «ii oe qni h« tNi>i>oTt« aiix xuiis uiiisivmu Mt iI'iiim' iefi^rlo- 
tit^ extrt^ioo. lUn'outpiu strivd Jkuiui* It rctuuir tiiie |>Iii:mv niiivkalc il<« jiL 
Biiupl*', laAmo mpTt* nvoir 41£ r^pdliSo ilevaul eitx un<-> ilixnian de fviH. 

Ilbsunl peiiNiix lorniiu'llii oonnuiHciit to pi^Hlj ile jilua iU cumptcnt daraatng 
■ur la ruw qun «uc I« cuuragih 



SUR LES TROUBLES FOKCTtOKN'ELS DCS X LA CBALKUR. 

Vat li> l>n>r. J. B. DA LACEIIDA. Rla 3n«im. Bntil. 

Coot MMtr. iaipnrtaut pour noua, liuliitautM d«« paya cliuiidii, da anvoir Fominc 
ftlCit lurlialour mir Voriiiitiiaiiic, et iln quelle niitiire wiut l«s tioublwi fuiicliuuncU 
qti>1ln proihilt. A co ■iijut. amiB uron* (In exju'rlniirca oninaicfici^w il ; u <kji i|iiul. 
qiiM aun(^ nvcc lu collalxiration ilo iiinD tegtnttt: coll^jt<i*> I" I'''- '-oiity, ct i|nl 
•Mit itaMtm InUitot. Nona en altona fnlro uii ti^dhiuA, qui doit «Uo pr<<Mut^ aa 
0«ngrt*. 

I.m auuimnvs ox|i^iii<iioM 4* Cl> Bmuard out (if' iropnTtiBoMlM: allMoutM^ 
fnitid daua Aim voudilluua qui n« aont pa* ool)»« ilu lu ii^tnre. Nona ii'ufMia paa tn 
recDuni aUK ^luru. et doii* mi nvoii* hu pan iiii'uia Ixttuio, paice iinu iioiia punvioiis 
pruliui tie la oliulAtii ualurvll«. A Kiii. ilmaiit tVlit. iioiia nvuiis aoiivi-iil dau* la 
Jonriit^ do) tamptfnttiirea variaut utitn.' 30' ot 'J6' C, !«■ elleta de In cImIcmt I'tnot 
onooro aocruii pur )• Bnluratioii b)'(;ruiii<<lri[|iii> du I'nli ct lea caliutw du I'litnioaiilirrn. 

tjiinnd oca DouditXDUi Hunt ii<uni», <iu loiil uuc di^fiiillmice voiisid^-rabU dca furi-'u* 
iuu*(<iilnlii!a; roeliiiU ncnciiiu; roato nbattug; la poau aforito fuorniiitiicDtj lat^j 
rviii* luiimwiil; l« ccttmu ■onimrillo. ^^H 

N<)ii« avuiia tliarchA uirolr daiia qn«l «tat •• tranvoit U elrcnUtlou, M qnell^^ 
Inui1iti(ial<<iti8«(> p.'M''iiIont dana I'ncClviU^ d«» i>orr» noil* l« rniiptlMgmtdairJialuuta, 
eii fiiitniit dM oxp<^rl'iico* auT Icd nuliuniii:. 

I'm pii'Ciiiiil U ivtitilniini'W^rinlli'aurli^rJikua, nv«e ilea loiup<<ratiirM variant ciitni 
Siy- at 3i-C., nona avoua toiyoun troiir^ la triiilcm tri'a biiaao, L'allc-ol viiilnU 
ontio )9 !■! IS cent. e. de iiwxcnni, taudia >|iii> duii* I'IiImt In Iimkidii £ta(t «i>ti<' II) t>t 
31 VMit. 0. do lUKmiire. Driix fnt^luun jitiynlolnitiigiitvi iioiia oiit. t>i>ru i'i>iitril>iic<r 
puiirni rteiiltnd; In dllalulion |>niiil>tli|iic lien vuiUm-uut i>i<rl|ilifrt'|ii«M «( I'anuililiB- 
MllK^lt dii uirlir. 

Uiie <^(ii<1l-. niiail romparalive, ii)iplliiui)e aiix netta, uoua » Tiiit conBtaler qne 
ociix-vi, artiuiiTii'a piir In vlinlnir, •^liiictit <Im'i<iiiis tmp i'jiiiIbiiM«il Apr^n qiioli|iica 
exnitutioim i-rntlii^tvt di< tn innrbliiu 'Icolri'iiii'. its ii-ntAieiit iiirrl«». II rnljail lUura 
ttltoudre qiielipicH iiiitiiiti^v piinr voit IrM iiciTs r^uriiiicrii Iviir excilnbilit^ pi-nliio. ^^| 

Noilt a<oru niiwi riiitlii' Iph vllcla du IiihuIhUdii. I.os rtlierm oxpoiii^ »o tu\i^fM 
iiimi'iliilua, unl cii^v^ nii luiiit de 5i> itiiiiulea iinil nii ptim. Lea ti»alili-a da rnminaii- 
eeiiieDt out H6 tlVioilntiou: accrl^'rittioii curdiai|ii<>, rnpitatloii piruu^R; piipllle* 
ttlT6eie»i abotitlaiit i^eonlomi-ot dc native. OIn dnrnlt iino qiiiiiuilnti de imuulea. 
Khuiillo 11 eomiiiDUTUit tn p^iiiidc paral;tiiinn: le camr a'aflUibliaankt b«niii'<i«p; h» 
piil>lllct> 'taieiil IniycH; I'^outameiit d« la nnllve ccMalli U mtplrntion a'ntT4V|«U 
pntir itconuiieiieer npK^. l>iriii|no la lanijii'rntimt rentnle anivali n 14 ' rwiitl|:railM 
U< inoiii«iiit d<i la mart ^t«U pri^ Cnlle'vi viiiink \nr iirK-t rvHpiialoirp d^liiiilJf, 1« 
cii'iir i-oulliiiiaut (I liOltttT, ■nil* poiiMtcr, firitdatit oocwiv >(iii'li|ii«i •■.■cuiideB. 

Tout ilv ixhto npri'a In eimi «i> cointlatait In pvrti' do cuntint-tilJIiS dtn maielo, dii 
mi>lua jiuur Ira ■iniacltui ii<«plinl»ir<» vl puiir Ic I'wiir, I^ aang 'lull luiin^lre, niiaoii 
Mulda; le CIV ur pill tail dm larlii** b'^niuirliaj'iiiiiM aunt I'diducnniu: Ira ponmona 
Alaleitt euicnu/a arm dca pliUjiint li>'tii<>rttin;;i<|i)i>H pnndiii^i. ftvils la pcail oil 
reiuaniiiait nn pi>lnlitl<S Iii'Mii'irliii);ii|ui.>, iiiivl-iiica fujs auivi ptii dot MifTiuiniia attii* 
gnliM* mil rill ri«. 

Lea aii>illli<atli»ia <4^i!ca diiua la rirciilalluii |iur I'lwitton de la rlialuut, liw(|iit'11aa 
nuus arona ci'dewita rappnti^ diitv«iit cr^er u^onwalr^iiieiit deux niitrM coadiUon^ 



PAN-AMEIilCAX MEDICAL CONGRESS. 



12'J9 



qui B'ant pna 616 enoiiie d^nuiiilr'^a par l'f\pvriFiic«, c'eat-Ji-diro, I* lentitiir daa 
ph'ii<iin<'t>ca (I'abmrption vt la ill mini) lion dc rnctivlif ilr> i^clinnKf« dttnn liw IImim. 
MBlnloiuuit tl uTn (wik ■ riunpn'nilrr roitimi: fit* i'oi«llli<>iiii ■■.■poikIhIk-* |>V'UvuiiI 
ranouai'lr ft am^nvri I'l^rlnln* fliilv i>iiltii>t'>i;ti|i>co ilniih Ivn dimnu «liaiuls: vt |<i>iit- 
qiioi, dan* «M oliiiialo, mi ui; lUlt o(>iii)itrr l>eiiii(>uui> fciir rfkbsurptlMi lupiile du 
mMkanviils, 



TIIE ANALYSIS OF THE 0A8TKIC JUICES F(JR SOME D18t:A8ES OF THE 

STOMACH. 

By nrOU nAUILTOK, H. 9e.. X. D, nf Barrliburc fh. 

Tke M)far*l« iufortimlioa fjaiut^il l>y hiiui1>»1h of t1i» vuiil«iitB of lliu stumiiHi fliiiiU 
Ilk tI>olr iioiin>l om lilt inn. wbi'ii Itie iluuiiiali ia I'Uipty ur iu <\ini-tioiml activtlx, U 
•ttiuvllvit to llie pliyitinlugitt liL-caiuc it pliii?i-a bU n'urk ill n pinrlii'nl HbUI; of 
bftiallL Bt osiw ta tbo phj'uciaa ami Ilia pnlidul. Ouc of the lin>t iiidiviiliuD* of 
i)l«iardcr of tlie utoiuacfa ia tlio diitcciioii of tli« at|[aD □ntll tbi: funiiciillve kmm 
fotvo IImiIt wa,T tliroiiKh tli« cnnline oiidce, ■oiuotimo* cnn^iDK ]>arlioDii of tlia 
AatilH or MinlillxniltMl I'uod slth It. The HabblntiM of the Rlnmncli wnltH ttii>in*o1v'va 
miglit b« A cauM uf ■ILtteuitioTi. but Ibe ingosliouofau ubiiiiili)iii.-oof i-tmily Fi<nTi*iit»il 
fiiuil uulj* «iiipliMiM<* the cutitlllioii. Tbu ubjvot of llii» Ui««ii> \» toapplj ulMolnln 
Di*ltii>d> to Ibcae pbi'uumvaa, auch aH Ibu rxscC vutume of th« orgnii, ii wa« of (letcr> 
■nlellig lk« f«niMiilir« Mpa«ity of the fiioil lu a factor; the eMiniuIioii of tlit- HO 
Iu Ita M>««ral (niabinatloiiii; the i u term itl cut (fiiiictiniiiiM ot cmitiniKio* tnijiuioii 
»f alviiMCh Jalcca. Thu toliiinn of ilio iili>iimi!ti iiiraninvil by mnann of ita capnr.llj 
to roiilaln a |{lv(<ii ninoiiiit of air at a [iivih-iiii- until it i^ivM nny hn« tnxrcl tb« 
lugpiiiiity of lbi>M> lut«rwt(i(l. A roi-eiit i>liiit<Io njipamtiiH I* Hint of |it. KrllliiK, 
Uri-Milpn. (Sri> Flit. I.) hi Ills itivt<itti):4ti»iiM b« (•Iiilioratvly miIvkiI IiiIo tbe 
aih of lbs ilin'erenca nf wutM voliiiii(< c<vvei'<liiit; tbiit of t1i« ait vvliime uupaciljr 
•r Um aUBMMli. In bit caai* Uia Arenge was 7:1.3 jhmt oonl, 

FiuttuK 3. 



CkM. 


A(*. 


llelfiht. 


Wtl^bt. 


ValAB* U wMar. 


ym»»w. 








<.■■>. 


In: 


Ktlct. 


£t«. 


&«. 


«••■ 


/*. 


en. 


fndt. 






I« 


117 


an 


to 


lEI 


l.MO 




1 


» 


■.11 


K 




VI 


1(« 


m 


BOt 


3:7 


!.«« 




>l 


a 


>■ 


A 




M 


n» 


on 


Hit 


IU 


I.IM 




>1 


IT 


>7 


H 




i» 


in 


JJ 


79 


im 


I.MD 




<l 


K 


>• 


r 




X) 


III 


«* 


ra 


m 


I.OUO 




<■ 


SO 


>« 


t. 




to 
as 




on 

M 


u 

03 




i.iua 

I.Wil 




>1 


XI 




7. 




K 




w 


lot 


no 


13 


I4» 


l.TZlt 




«1 


i; 


>7 


)■ 






in 


07 


oa 

Iff 


iflr> 


1 luo 
1 700 




<1 


1* 


ii 


r 









a 


llO 


73 


tU) 


liHI 


l.«W 




«l 


a 


>t 


t 




a 


100 


04 


i;u 


IIU 


I.XO 




<1 


11 


» 


I, 







y"tfi"^t— * '. B M< ll.aail naramjrowanliurviiil'iii*. 

T»>-*llnut» Ibr fiitiiiviilivfi loniHiiniia^ n portion of Ibr alonineli ronlcarii Ik wltb- 
ilrawii linn li'lliilln mnain, In period* rani;iii)( finiiMiiio to four hoar*. tlionttiniiiKR*la 
plaoml Inabiilllo oii^ rnltrd l'> Ih" ttnipriDtur* of tii« pi'iaunV biKl.c, kitpt tbnrti unlil 
fnmwdUra aellou reiinpn, or fur a k<voii iIqii^. u tii'ri the oven lulu nblcb Ibc buttle 
ka* Will plnctl tiidicati'il tlw avrfBf;p piopor Ihi(1) Ivnipcmturu of lli« imrtlrialur 
Iiii1l*lilnal. Ttia biittlo or Btink ii roiiiieot«(l with tUn followiii)* iiliapud apiiatalua 
{Fig. 4), and tLa iuimiiiiI of |>iu rllailnut«d fioni tli« food luitlurc r«adoll titdniR- 
iiatnl liiti-rruU, Tbi< alinrlii*) of a wnlo niiiy hidicatp time. wbiti> tlic nidinnli'a nill 
•kin* Ibo UBtulMT of «ukk Kuutiuivlvra of i-iuHM tJiitt uiair l>« eauflit over imircurjr 




1300 



PAN-AMGKK 



MCAL COMOBSaS. 



or wnUrr, doiHtniliii]; tn ■otiie piwcs upon Uio nature »f iho prineipkl jtMot fonnluft 
tho vol II mo of the cffluviam (Pik.G}. 

7 P. .v., Mny Si, ISM, «tu {ItK) of wtttinitom inwliun o/lA* *(omaeA>aieM.— 11m 
er)|[*u nl roat conlAliiAil nliniil l.SOO <-. c. AtXcr » iiiixtHl ilM of iiii'at, bnunl, niid 
milk, 101} ». «. of lIiU fouil waa wltbdrawti, wltli Ibo folluwiii^' i>miUu. MmiI nas 
liik(<ii b*>tweMi Bii<l 1 : 



0. 0. 



At 7 boui 

S miniitea 

lOminntt* S.i 

Uiuinuto* C.6 

SOmiiintm R6 

SSiiiiiiiilca 13.6 

SOniiiilltM 16 

35iuii)ut«H 18. 1 



All hoiini— a.& 

40Diiiiii(pn 20.7 

4amiiiutvii 22, « 

SOniiiiuieH 24.11 

Hmiiiiiics 28.7 

GOiuiiiiiii-* 2B 

Juin-O ie.1 

Juni- 18 32.5 



Vsrioua dicUi affect th» amount of )■»< prudiirlSon. 

Benieiliea for iiitnriiptiug ronnciitutiou uiiil scule ul' Ihi-ir value. 



Id JU taonra— 


CublD tMftk- 
thnnUrvof 


In J3 btmra— 






voovi> 




en 
o,oe 














t.M 









lu tbpnc oi|)LTiiucnta it iiiu bc<Mi fuiiii<] thai oiie ilrop liydrocliWie twid Bilduil to 
10 o, e. milk nave B r, c. of gum in 12 lioiira ihip lo feniiiMilivr nction. 



Jloua. 


Om. 




>0. <<. 


1::;;:":::::::;;;::::::::::::::;:;:::; 


e. aiiil "Hli CiitiKo p«|>«r fcliuwnl i3 IMF wm cwiilUv. 
i-^U. Mid wHli r»ikir» ji^idr *Tii>*oit n.^ |tor <v-ijt n^lJltj. 









The rniacillts li«n ftre abvloiul; tftlicjititle itoO bciixonte of Roila, *nd In ci-rlaln 
coadltioii* uimII qutui titles of bjrdrDoliloric add. Tito acidity nf tlioalomach JiiicM 
Wid it" pr<i|>d Ibcrapnuali la a fertile loiitce of discnuion. 'I1i« lunrv fact of fit 
|ir*Miico by ilD cHiH-t npon cnrlnin " indtcatorn" in al b»t of n qunlllatlv« iailex. 
Tli« boat wotlioila «t igiiantllntivc citimatiuii are mjiid volnmelrk onn«, Ihity giva 
litaat coiKliiatro raaalto. Wo fint ftiid tbu total acidity by tiiluratln|; G or 60 e, «, 
of th« atoniaok mutviila wlUi a t\> normal alkaline aolntioii. With oii Iii4ll««kir 
IhU will ||;l*e yau, for cxainpl*. (I.1K2 ■•A." The total Anidil;-, If iiiu<1<t tip of tite fh>o 
aud orgaiiically ooDikinrd IICI would L« ninclly th«i annia na tbc aum of tlime fac- 
tora: bat tli« ainid-Kruuii acid* igitalify ll at dilT'ti'iiC tlinca •■> tliut the factora Tary 
eoii«idciiiI>Iy diiTinjt digiitiun. I1ii« iiin]r be dufcrrud until latar. 
The faclon of liivcatiifatiun are — 

A. Total acidity. 

T. Total HCl. 

F. Vixi*\ 1IC1 MInM). 

C. Oruaalnrombiiutloiiii of IICI. 

n. Kr«« HCl. 

« B= vniue of aiaid-f;i»ti)> avid*. 

FIA4«n ctibie f«iiliincl«ni »f tli« nliwrrd o»nl«<ala of Iha atomAch an divldM itiln 

lbrT« pnTtioiii, tbn lint of uhich ia) ia datiip'atvl witli a olear, aaMralnl toliitiun 

of NaOCOjanddriodnlth ttic other pa[|iouii(l>)nTid <c>(>r»a water both, Th«n (a) 

l> taken out, axpoood 04ie minnto lo a weak rad heal, t*klng rote that tbe Mb- 



PAN-AMBRICAN MEDICAL COSGRESS. 



1301 



I 



■Umm it ImnhMt nntll toliilly culrrlm* and whito. After coolinif, dliuolT* In dl^ 
tllM W.4LOI KOil ndil n llttln ctistr \'<>, to •Irlve ftlT Ihu UOij dry niid iH'iilrnliia irlth 
C»l>i>r N'aOCUjl llivii fllMrnnd w.-mh die rnsldiM vlU) ballInK wnloi, and Irlliirnt* 
wllb ^ iiann»l acilttlloii A|;OKO>, tti<ll«»ttug by KOCrUa, knonn n "T'sMal 
eAlorUn. 

(b) Tliia iwrtion iHdritditii liourfp<rM)*t ICKPtolKP. Wli«i totally dry, the roci- 
ilne in iri't "itli n cl«ur aatiirnlcd loluliou of KaOCOi, and tr«4t«d m in (d). 'I'bia U 
i<uiUHl«rcl tbe oiiailiiaeil eliluridea — ntKaiiio and Axod cblotidca *' C" + "F." 

(0) 'rkiJt piMtba )■ dri<>d and burned; tiw UCl found in ^th U (lonnld^rad Jlmt 
olilorM*-. -F." 

rorllini («> U ttmlKnatotl im total rbloridas, A, (t) I* dMi|[nnlr-<l m tlin mixed Mo- 
ridatit oritMila ■aliktonMii atid Tixoil clilorlilut; bunco (a) — li}= rnw HL.'! a* dlfler' 
BBM known M " Mi" tuid <<:) in hiiuwn a» tlio llx«d o]i)urid«», i. B., slilta, M"Fi'' 
(t) — (e)=s<irici»iilc»l)luridi>« kuomi a« ''C." 



Cblomilc **D' 
luUndliturki. 



t'liW-m hrilrU Mr Quullljitlva 
bI»b-I iiUr tiv elwuKn in l»p* 
■(rliff inaiirM. laninllun. 



C 



l> fl -t- O c>**l«r iliMi nmul •• 



n. n + c 



[ — By|H>rtiep*li> 

uamal = 11^ XoiiutL 
C 
lU. U + C Idm Ui*b DonwJ = H=^Bypui>«i>«lk 



TbU la the batt «xitlsiiied by th« followius tnblos; 







B-T-irtU) 










— n-'sItrlB 


BltKOl. 




UiDoU*. 


Tani 


nud 

fJllnTUlNI 
(uttlinl 




Ononta 

fiicliK 

ua iCI. 


Tatat 

Mlillly 

lA). 


uffal. 




M 




m 

IM 


D 

u 
u 


n 
iw 


ira 


114 

M 





L Utptr-ptytia „J + 

T 
«. OonerNi p ~U 

T 
k. Cklaro-otgiuiifi ....u=s3.1 

T 

& Hjiior vhlarlijrdria |.b=3l 

n. iv-«fM«i p,| = 

c ► 

in. Hjpo-pepHa n ("'***■ 

A = <l«r>lorO 



1302 



PAK-AUBRICAN MEDICAL CONGRESS. 



A. Nuirniiil neidity— 0.1 to O.S ]i«T oeut HCL 

Nerroii* dyticpklB. 
A. Bub-iioniial. Kvlow 0.1 )>*r Tiint HCl. 

Biili-nciiCe 1 

Chrotiii' J Ecluiil^ or utony of tlio nrgnti. 

Car r- i tin 111 H ) 
A. SiipTit iicidily or aliuuriutti kliava OJt |i«r crnt, likely nicer, HCL 

fSuHtritis — 
Difliirriitinl UlaKiiMia! 

Can car tho A. < O. 

Ulcer A. > I. 



Oluidnlu or )M>r«ii«]iyin- j 



Interstitial niiuitrltl*.- 



Irrllnlinn nf thr upper } ttjTjer-fr.Titiu with unjira abna- 
prWn. i iluDi-o (if IICI. 

[Atri>pyof (cIiiikIh, n-pcpiU. 
I Simple. Bl«ndnl« ..raph, , i.. »l,ol„ J nyp„.p„p,|„ ^ ,.p,p,,a. 

I Mix«(l irrituliou wilh ulnDiliilnr t Ilceldcd hyjii-r or bvpn- 
[ iU«t>ir1>nuci-i. ( pcpils. 

To ■tiro lip th« mnltnr In tlio incTciuii:<l ake of the orKBii, Ita ccpnclty to oodiirn 
•trail! abowt the rcAMtna for ita dUntallciD am oitIi«r a f loldlnff of the wall« or tlM 
oontiiiitoiiv lunii^nlive prnrmit. Aflfr (li>niitiiK tliM^ facta bjr alMoliile luctliods we 
liiivB a inou'iB of rFllcviii); t.li« ditiMiM' witli t.liu avtioii mTiedlcn, ulhrr lliiii^ t>«iu)[ 
eiliiul, will) campniutiv« cvrtuiiity from tli« iurunualtou gainod raipBViiiig niiti- 
fiTmciitiviw, lu ■□diiiiii lulyoiliitf or biMixtinto. 

Ki>feprrtin2 rniinn* pninfiil d}-s|)cpHiiiii it ii important to QU th« orgnii (it ahnnld 
not li» nverktrniiifid), dlai-ovcr tta wuiik nnd lnpclnr ipnt. nml tnit thn I'nuleiita for 
acidity, A., wlikli l<lnd^^^tI<*iU•• tlic»i>rtof norontiia joii linvr loilonl irltli, wlictli<ir 
beiilgu ur utberwioo. The iiao of i«iii«dl«a audi aa pepsin or liydniclilorlu acids ar« 
mailer* that are exhililtvd with a<«iii:it^y in the Ririiiiiliie eltuwn r«<|i«ctiiig tli<i dlf- 
ferrat «tat«a of IICI is tUe vout«iita of tli« alomauh, aa in tlie lij')>er, hypo, oru-pepaia 
alntM. 

1 trii«t that tbeae fnvr dcinciititraltd olinion] cortaiiitlea nmy lead to a mors aura 
iDitthod of tr(iatii>rnt. 



■■TKirT UTKKJkTinK. 

Baoka; DaOMmtUMSIatuanl. Rjr rrnlk Hva •b'1 Wlalar. pBrI*,lMI. U^ad-XraBkb*lMar 
ToIb. I and II. Vrvt. llni. Dott. 1. ll«s. Oarlla. IMl-lHO. ITiwtlMnr Med. CMar, VMIa., tMI. 
Diutoalt idri. WacliMuwlirin. Hd. XVIII. IMS. 

ArtlelM-tl»uUeha Med. Wwlii'Mrhiirt. im> SmtisUo UyriHolilnrln Vinilrlonll CoDllnaa. 
BchrrtlMr. Sa. ». Wih July; Ko. M. S;ik Jsly. — Usbiir dia Cuutlulrtiche UkCMiMlVSMmUa*. 
Riffd. Ho, n. 3d AucMl, )t»n.inli AuituaL 

rraa. B«a. Hal. CUr. 8m. tlf.niUa*]>tai,IHa. 



PBRI.1M1NAHY NOTE ON THE I'HYSIOI^/OOICAIi ACTION OP LANTHANUM, 
TUOKIUN, ITTBIUU, PKA8K0UYMIUM, NKUHYMIIJM, AND ZlltC1>NlUll. 

ny IKAAC OTT, U. D.. of EiuAon. l>a. 

Tko hIIb of Ihcae notata wer* pTooiin>d from tlio WolatuM-li IncandMoent Lljtlit 
Contpauy, of (ilunceali'r City, N. J. The iillmtm wvre Ilia oiiuililiiatiuii luad, asil 
were Bulublo in water. The two tiodlce, Dumlyiniun nnd praacodyiiiliini, are two 
now clonieiitii Kpunilcd from llui old d«lymlara liody by Dr. Van WrIabNcIi iu IMS. 
Their atonlo welgbia wcrn dctvriuined by IIiiiimu and Wcbbaob. The oxperinteiita 
were Htada npan bega aod rabUU. 



PAN-AMKUIC'AN MUDTCAI. CONGKESS. 



1303 



I 



TI141 flr*t e)nni«nl t ibnil tahe np i< laiitlinniini, wlilrb «■■ e>>inblii«d wllh nnimo- 
nluui Id nuke it inlnMc in wiiU'r. Iii llio l>o); in niii--liiiirj;rsln •\mi> iiu)i>'iiltiii«i>ii»]<r 
It uinmui'il till- r(u]>irntl<iiia ntiil i-&iiai«l » ft'cUli-iiKaa nf inovi-uimt with u li-Iauio 
MTtiott, mill tiuiilly all w-iinlliilil) 1» Iu«l ■vIii'IIkt tlii> iiTt«t)- in liijiilml in oue Ic^ »t 
li«l. llutur iMirvvs whnn HXimacii ore irritulilu; climt it)ii-tiF>1, unit heart lieutlni; 31 
]wt mIdiiIi^ III llio rii libit, ubm u grain in ^ni<1iially injuctod per Jiijinlar the piilMi 
rat* i* bMilly uiler«d, btil tba arteiini tiniHian fill*. The roajiiintioiiii oimliiniri] 
■tier Ui« buMtt •Uiiijieil, wliilc in iinolheT iiuitJoue llio bcart vim Lenting lwM>* Ura 
BliaaM* aA«r the rcepixBliuu maaetl. 1 

1-H»KIUM KlIUAm. I 

A frifti rec«tToil at Tariaaa intervnla 20 grajoi ■nJK-nlnneoii.'O};. It eiinnptl tniTq — i * 
of n^nplralorjt tnov(«n«iit, Ibcn ranvuUivn tnoveiiiciitu of ilir poAlorlor (•ximiiiltltii. 
Tbi-to In a r<>i<bl« r*s]ii>nwi la Ritoni; irritation of (he ulilii TIta animnl AIM in an 
bonir aiiij twelve laliiiilea. ho^rt brntitic tvi jwc itiliiiil". Kclnlic Irrilabl*. 

A Miiall rH)>)iic^oc(>ivi'il oii«.li.iW gmln tlmriiiiii iiilnit? t*^ jiijEiilar. UenpitaliMi 
at firal Mraliratail. In two niinittr* ntliT Kjin-tiiiKllc ini>vuiiieiila of Ui« po<l«rioc 
oil rem it in Ibo breatliiDK t»u>ecl. Iimrl lieutiti^ 100 per luiiiiiM. 

Wbeo a nibbit rercivcil nu t'igtilb «f 11 grHin at varioTin iiiterraK it (till not alter 
tlH> ihiIm' ntle lo nn; groat exieut, bill (lepicnieil tho bluort pieaauia. 

iiTiiirtl HrnulK. 

A tfog rwotTftl •iibciilniK'ounly ti griiiiis of Htiliim nitrate. Iii twMity-ilitMi 
Klniiled lie «il« In n Rtiipid (HimUlion, nilli ryeA vlioiuil. but Jitiiip* nhcn bU l«ga 
•M irtilalcil. Lies witb ttiaiitti opeQ: liiiully iliwa nut TtwpouO li> Irritiilinii. bcHrt j 
tMiitiiif; in [n-T minate. Ha* convoliilv* moveiiiMit of Ipk«, Spiiitica iTrilubl^. 

Ill Ibn rabbit nno-rightb of agtiiin pi-r Jii|[ularlon'L'r«>I the pnUi' ruto ami preMnro. J 

XIKUMIltlU xmuTK. I 

AIUt Injurtlon of 38 jcraliM of iJrrotiiiini utbciitBncDualjr tlio tn>x crawh in a 
voak iBiitinrT wbMi IrrUatoil. CIimI opHitHl, hrart btintiiiic fni''tily at 3i> poi* iiilnuto; 
MlaUr* IrHlablii. 

Iiirabblliilrcoiiilitlnolperveplibly nllei ptjlteinlo, but ilepicuril 'iit«rlitl Iviiaioii. 

ymnsf'KMinM. 

A fmg after ba rccvlved 21 smini of pnifoilyinjuni had IncroBBu of reopiiniioti 
■Md jiiiiipr'l nboul <»>nTiil*iT(>ly. Wlirn Vi jtmliiit iiioreKivetiiiubeiii»npon>>ly liubnil 
«iit>ulatu«i>, niHl at l«iii[lb rcspotiit* > rfy feebly lontrmiK irrilalloii. Wlidi kiuIim 
uamwaro i^JiietMl bo iIImI; cIiMt o]ini«i1, iMiart boatiiiji atroDgly 11 par niinnle] 
Mlallra inilali)*. 

In tbe rabbit ( untlti per JngnUt raaMil so marked alt«ratloii In paUe boat, but ■ 
ritimaaakiN urartvrUI t«ti«ion. l*ra<eo(lyiniim la >lrciii)(«r tban ii<>(iilyiiiliiin. 

XtOUXMIVIt. 

In ibn l>i>f>3()gntMsilb<iitaiieiMiiI<r mh)u cnuaeil luMof nioi'onieni; oovor* Irrlto^ 

■Jon t-rinbirM eimviilniua* utid ilitiilb; beiirl beatJiiK3l per miaiitr; Mlntlca lirllaMo. 

In tltr rabbit 1 f^rniiiK per Jnji'iUr r^iiMiil il<-prfiMlon of puUe and urletlitl ttmitloii. 

Tbo f<it|(iniii|t roiirliiaioBi eiiu bi> iltikwii frotii tliWKi aiporlnieiita: 

(1} Thai III mlil'bbiuiliKl aniiiulit tbe; rauae loM of Inutility and a loaa of Mn«l* 

blllly, whkh la ill pari «4TiibraI. 

(2) That IUpj all iluprtw artarlal («ii«lan anil itot niarkfxUy a1t«r tlio uiovoiuaul 
la wnnn-blooilnl auiuiaU. 

(3) Tbat in ooiabloodad MiniaU Ibu bnart poutlniia to bunt altnr doalb, but at 
■ hivar lain i>f ajwed. 

t<> Tb*l proModyiBlllm la a uiei* toxir aj^AiiI Ibiui iieaitriniuni. J 



SECTION Xr.-DISEASES OF CHILDREN. 



neiurarf Praidtnt*. 



Or. 8. 8. AiiAiie, WnnhiuictAn. D. C. 
Dr. A. D. Ilr^CKAurii. Miintronl, Citimln. 
Dr. BAMt'KLC. UciaKV, Wiulitiigtoii, D. C 
Dr. CtiAiiLita WARitiKarox EaRLB, Clii. 

<•«<., III. 
tit. V. Vmn-iiitr.\tir.n, ('inciimati, Ohio. 
Dr. L. EWMirr Hoit, N>w York. N. V. 
Dr. A. V. Mkki^ Pliilnrli^lpbiii, Pa. 
Dr. W. P. Soimuri;!-, Sow V»rlt, N. Y. 



I>r. J. CDRVKn. Nsvr Tnrlt. S. T. 

Dr. C. I. pLTNAM. Uustoii, MaM. 

Dr. T. M. KoTcii, BmIod, Mnw. 

Dr.J.LKWlsSMITri. Ni'W Yi.rk.N.T, 

Dr. Louis SiiiRR. l'Lihiilrl|iIiiii, I'll. 

Dr. J. B. WlNTKIts. Nojr Vork. N. V. 

I>T. Jksus Vaddcxlhui, Ciif of Wexioo, 

Dr. I. X. Lorx, St. Lonj*, Uo. 



Extviittx* Prntdnl 
Dr. JonN H. KxATixo, Colorado SpriiigH, <;olo, 



Dr. F. M.Cii4XiiAi.L(EnKll"li-*i>i«ik<n|[), 
No. U3 V>', Niuutf-liflL «tr««l, Kkw 
York. X. y. 

Dr. Laikiuia (TiamAnt 333), Buunoa 
A,vri<«. ArxFiitino Repnbli*?. 

Dr. KxiitgiK IlKinxoit, La Pax, BoUtI*. 

Dr.C'AltlJuA. MnXCMIIVODK l-'iriVKIIKIIO, 

KIo a* Janeiro, tl. 8.of lliiull. 
Dr. Antomxo OAmkz (.'Ai.ro (Ckmira 5 

No. 83). BoKot*, Bopnlilii^orOloniki*. 
Dr. JoAQHiM L. Diix))Aa<SanMigii«lT&), 

llnvkDi, Ctilw. 
Dr. DoMiXoo Ai.VARRX, aiiat«insla Cit]r, 

QanlemaU. 



Dt. Damako IvaixA (Spaulsh-apMking), 

Mo<tla. Pa. 
l>r. ^INT LKOKK-PKHittKii, Purl an 

PtIdm, Haiti. 
\H. ¥. L. MiKKB, Uonoldla, Havol!. 
Dr. Anvhks Loi-kx UARnxKit, 1Vxii«l- 

gulpii. Honiliinii. 
|)r.RA>i6.v l('Ai!A<Batoii9),Cllyi>rM(w- 

l(!n, Mcxiiw. 
Dr.CARMKN IIk.-«iocuka, MatuiguK, Nto* 

aragiin. 
Dr. I'KMio CiHTno (18 ile Julio t23), Mob- 

tevlilnii, Uriif-iiajF. 
Dr. Lvts A. IiiAHKA, Caracas, VeiwiiMlk, 



ADDRESS OF THE PRESIDENT OF THE SECTION. 



WHOOPIKG COUGH AS SEKN IN THR ttOCKV MOUNTAINS. 

Uj J.ll.KKAT|Xa.* U.U.LL l> . ol CoIoTwla SprMgn Uolo. 

fndiait Amnriiah Ftjialrit Stirifi Pmidnt awt i — ^ thtitrni/ CttiUrtn. FVnAmrtirmt Mri- 
iMlOtn^mc ni)ov<tr«Lt Jiii(r(»i>a>id JMIMOfiMMlcylMl JnMtMfDM. KW. 

Tfae bODor wbiuk *aa oourcrrvd u\n>u me bj tbe rAipMnl to orgaaiM tliia atwlioa 
carrieil vrilh it a rmponkibUity n-hlch I riiiljr tvnlirv'l, aail, under otli«r oirciuu- 
Ktanona, 1 wonM bnve liiiiilnliMl hi ncceptiii^' tKe vra»t.Iiviii);, as I do at pmoDty 
in B Roction ao far rvmored fruiii Iboir who noiitd be my uctivo ci>opi'nitoTa. But, 
wilb tbo aid of <iut> no oflleicnt. *o encr^vtic aa our * « W4 «ry • ge iif ra I, Dr. Herd, and 
witli tli« ocliro auiitaiiFe of Dor (ocivIiit;, Dr. Cnuidall, I (bit tbnt our moiitJBg vraa 
boniid to lie a •nu-cMfiil oiin. and 1 wan pioiid In bo its itoiidard bearer and to giro 
•U tbo aid of my ontliunlaitiu in tbii icomi »uw. Wliat maro uttrMtive •tuilf ia 



PAN-AMERICAN lIKniCAI. CONGRESS. 



1305 




^ 



» 



l)lMi*'lluu> tbtil of ptHliutfiuf What mora lutvroiilIiiK l&piua lliAii that whkb 
ralktaa to tli«XTD«tb ami dcTalojmii'nt of ilie boitllby babe, wbu will io r<itiiT« bear 
U|HM til* nhvalder* Ilir r<it|H»i>itikUlli-s (if the world— lliuae tliaC ri-luta to Camil/ 
■nil Id K<irifri|[imitt Wlmt mixn «iili»ruvt(iry filadj Itiiiti Ihiil of diHeaae at ui m» 
irkcii :tll onlim) proi'iiwc* uiu lu otir favort Tim rrrjr tiilijccis of vrlikh va wrilo 
■IS IhiNM) (lint lire iHiHiiwI jiiid ilciiTntt til 111 in uat iudtvlOiinl buiiicn. for lliny loiioU 
iMiT love a» w«ll u oiir nyiniutliy. Tbe/ t«iuib lu bow to ilofrnd tlio«e lllitn oona 
ttmm t]ie ■g|{'*"*iv« iiillii«iir«ii of iliieOM* whieb liixnr}' and urnricionniii^M bnvo 
brougtit into our niidnt. Tliey tonvh a» tbockuio aii(l,b]r kno^rinx It, ir« l^iani It* 
n«re. Tbe ob}ao( of tbia Duiigrmi bui bcon to brint; totE'lbrr all Iho wurkors lo llio 
raal Ibild »f tniHlictua in tliU kimI bnini*|ilirje, and wo faopa by tlio bapjiy OMOcio* 
Uon of Mlrnttflc luMitiiiK ami anctn] sal holing la Ivarn niaro of tlit>i>irr(U of vliniate 
on (Uhmu, bulb ill It* RHiiiinlire and ciirativa r«U(loii*i to study iilno tlio Blfecla of 
ludWIilaid Tfl*liilAiif« tliTonKh lanlal pooaUnrllliui prubnUty duo l« aliiiiollo iullu> 
«nca* — • •■ibjfi'i wbirb I* looming ii|> as onu iif v:i4t im|'«rUi[iro, 

1 ilnire lu omII your ullcutioii lo tho nubjvi't wlili'li I liuiavboHBu for a f«w r«iiurks 
to-i1a)r> bniiing that it will briiij- fnith (oiiic dixi-iiuiou nnd tliat tlic mvutl|;ntli>ii 
wbl«b I b»ro uu'Icrlakrn iiin)- proiupl "thptii (<■ follow niit Ibia tumn lino I'f (hoajjbt 
lu coiiui^>'t iou witb otlii^r diacnuoii of <iliildti.-D in (lio varloiu nortliitin at thU K''<"'t 
(<<iutilry. Slnc« liriiis in Culniiulo, nfl«r liHvlnjt lind qullo an nxiiiiiHlvti jiructlufl on 
lIi«AUiuitk I'iKwt, I bsTo boMi Tory iniinbMtinck tvUh tliudiirxreuciwliirurlouanffeo* 
ttuiianf cbildbiMid wttb wblublliMl been iiruvioukly rely fitiiiiliur. Tliiite diff«r«nor* 
Mrtaidlf weie iiotdnc to [■(■tuliHTOundiliuns uftlif iiiilividtiul. nbiib mit-bt lii> HiiiiJ i>f 
Ui«M who >(« |>bllii*i<!iil ami »hu buil rouj-rcj-at^il iQ \argv iiniiib»n ut coiinin (av> 
otabln pIkOM Mid nbiTc curtitin oummon ■yinplonii iDi|;bt depoiid upon the dlaoMM ' 
ani) itol Ibadimale; but iu cbib)r*n wbo. aa u rule, ain bnntthy tnl^oct*, pnrnllar 
iBHiilfcttatlaiia of diaf*M aBdoiiUtoilIy dnjicad iipnn locnl liilliinncr*, whicli may !■• 
oiltiar Ibiwo of luill or lliMO of climate. Tor tbU piirpo«n, I addrMMil my hi' If In a 
RaiDb«r of pmniiuont pbyhl^-Uui nftJolorado and Vrir Mvxko, nnd bnv* colIwUi) 
eoaaiiUrablo itula, tto» wbldli I liihv Ibo malaria) for lUe pap(\r tlint I ;iri?*vnt ymi 
tu^ilaf. Il i« nut tK<t*nty for am to diruU ut nii.v l«iiii-tli upon tli<< 4iiliji-ul nf 
ping riMisli, Yoii will find all tbnt I biv« to Hay u|ion tilt* nulijci-t iu III* 
.k'b in Pcppor'a S]r«t<<ni uf MvdiviiK-aml iu iiivcrul publication. Motlirt otidCbild. 
'■ajr Mtj Ibat I bulleve llic dincuM) lo be DiiiTobiv iuchHtaclor and oupiiblo of bvlug 
tniMBCed by lrv«tniml tbnl will rrditco tho attmidiiig luryngunl aud Iravbi-nl 
ralnrth and uet aa nodnltro opnn tbo norvoiu lyAlvni. Wo bavc nil noticed tlml 
ehlltlmi do Int with wboopliiK onuKti who livn In tbo npna air and, (i>r tbat r«>.»oii, 
ll U nlwaja ruveinmoudtMl, wbsa pa«ibU>, to aund onr caana to Ibn roiinlry or tn tli« 
Mvslioro, to 4rvM lb*(n lu flaitiifla au ita to prori^nt tbo cat<:hln)t nf cold, lu let tb«ni 
iMit IIVM whkh are iiivigntallnti aiul which will trnd to fortify tlivlr dii;ciitiv« pioc- 
•Mm; In otber worit% Ihnt wilh fKtib air and Ionic tntliiptit'nt liio diatiuv win nui a 
■ilM couraoand lunnliiulo iurncovvij^, 

Tho grent lucation which haa oftoo attracted aIt«otloD ta whothor tho vl«1ont 
parmyaiai wbiob onsao often •«*• alteti<ling tbU diwooe, and whkh retiilt in hiein- 
onbaKi'^nt lim^i nioal nlarniing, aropnnliictiruof utgaiiii.' cbangva in Ih«b(>urt and 
Ihoki «bkb will actioukly impair tlimn iia to ifniwth iii>i| <levoliipiii«iil. It inudt bo 
wUd Ibat at tinim wo do mnct with riixu of tbia chnrn^liir, uid potuibty for jrnur* 
tbnta lltlU oil** wlU lio alToct^Hl wllb osldciK*" of cardiac alriin iiT rniphyaFma 
tbal «lll minlrn llio mnat ttarcfiil ail'>iillr'u ta (>v(<r>'oiiiit ao aa lo hitiis Ihrm to tho 
•lalulanl of a bi'ultby adnlt. KnI If Ibal i« «■> fur llio>o who Urn npoii tbn Hiin lorol, 
livir la it for tlwiaowbo livo Bpon tli« ru«t »l<>iic<i of Ibe llevky MoiintMiis over on* 
mil* hlgbf It la Dot nomaanry for n»- lo i-o Inln lti(> ilynsmlp-* of nllilude. Tb* 
wrltliiic* of Iicaiuiu and .Sullr In this country, and TliiKirt<iTi> Wjtilunm <n Ent:1aiu1| 
bava (iraml voncluairvly (bat Iha utt«nnal«d nliniii<]ili<<ri-. or, Sa other word*, tha 
rollaf fVoia ataioatiberic prtvoure, liaa n markrd inllucurr iu inrroaaiug the aci'i-tviity 
JbrpvLnaBaijaollvitf and infliiMidnf thabearttoararjgTvataxlouti Tba rcapira- 




PAN-AMERICAN MEDICAL OOHGREH9. 




tlofinkKuUlirriiicraiuiiil in rapiility or T»nitM«<l (lBp|i»Tanil ib« pitiM rat* la qntrlc- 
piiftl until nil I'liaililirjtiiii in iiiuiiit[iiii«il. the M«riwtit>' fur a liirjcr Hii|iply "f sir 
iiMtiiiuily 1ny«a gtvntcr ■< mill iipuii tholieart mid lnnt^KipKiicxrnidti. ami oni! wutilit 
liiiaifiiiu tliat irhi-rn iiiiy intoifi-ronvn woaM (aki? pUvi' Uirn[||;U ■piiamnof tliegilotlia 
llin fini'n (if the cKpirntury I'flfirt woiiTrl be iat^iisilUil iiikIci Ibe onii<liti«i>« uaiiird. 
Wn Ihiii >l4i> in xtiidyinK iliMim.' in (lie ailnll in )iii;Ii nii'l dty I'lc.-ilitii-* tiinl l)i« 
krwItiK wInilH aiiil rRinnrkutiln oWuiril piii'ii<iuiubn of the atnionphvie prwlticii • 
nerrunt eandltlan w)i|r|i ai-Kini (u IntrnHliy tlioM afiy^ntionii wIiIrIi hiiv* in itinm 
inon or Iras of a mnTUril ui-ivoiiii lOxmi'iit. 

Of NiiiraiMilie iilitli ttiat tlio Hri-ntlM licrvon* t«iiiip«niinont irhlrli 1* n*Hn<:1nli-il 
iritb iiiiwiiiiH ii K-Dufitvil by du ouUiIuor life, wlilrb kIvm nppntll* nn<l lii-lpii to 
iu(?tvn*e Ibo bluoil, liolL iii itii nnioniil nud ricliii*M>, aud aurli vsi»e» itoi-ui to ilo w#i). 
It'll the oucutially ttiMirotlo type of iailiridiial— mid I an apnnliing iii«r»i «)p*^cinlt7 
for Iho wanioii. lu ilioy fuTiii iliv IxrijiT piut of my pinrlli^n— uri! iipl t» ■iifTer from 
liiaiimnlit, IrrilaliiUty, nud nil tiirli nrlilonop* of oxnitrinfni. I hnve nlso notinod 
In n fi-«r <iuMa tlmt dilldrcn utr mniu or tw«e aiihjvi'Inil to tli« nama tnltiir'np''*, anil 
ocriniiily wiUi llii'in wu imiat Ijo nldo to ntndy tnon> nBtlnfiii'U'iiIy tlic i-ff<;Pt« of 
rllniulv. bupuiiM thi-y are I.ii* iiillii«iii'u<l by wlmt Itoy lionr anil by dl>dnri*l)irtloii 
with Ibvir ■iimiiindjiiL-o. I bav« hud toru iHn»t InlKirktititi; cnmit nt •pnhnxHllo 
ikalbms— one in a rlilM Irurn Ii«to, who I* ton ycnrauld. (ml vrli« d«vrl»prd tlii> dis- 
«<uie in early <'liii<lh'>ud. iiu<l irbo bi-vmiie nioru nnd muro uITcrtt>d ad xhu );T('W iildrr. 
)Jti« was hl);lily excitublu, inti-lliguiit bt-yond Wr yriira. And of nn mHciiliullir 
n«nTntl« typf. TTi* pmcuta wirro both perfectly lioaltby. tlxpnitnn- to tile wiinl 
wliun tlriring would brinff on tlio mo«t loveri: attack uf nsthiiin I ever miw in niij 
IndWIdnnl, vlilcili wonid Iimt for iiPV«ral diiya. Sba ironld bci-nmc bih'Iily cyniioltn, 
tbo piiliiD wonid biK-omo i-xtriTiiinly Irregnlnr and Jnlcrmiltent, tho reiplnitlun vory 
lVni|iM'ht nnd very nhallow, mid. Indeed. »n two or thr«i> aeciwii>n» I fidt Ihiil li 
woiiM l>« ImpniHlble for lioc t<i iiirTlva clio nliiu'k. Upon roinovnl to the Alliiiilio 
(*i>niil Ihn child liui rraialued IWtfeetly well for noir a ywr. One wunid thi'ii nnlUT- 
klly aiippvMi) (bat In thl« sditluii of 1^111(1(17 Iha apiuniudk clri^pul uf prrlofMl* 
nonid ■><> miii'li liirTt'nM'il; lu ntbiir wunK (I1.1t lli* iKTvoim xyitlt-in would liu r«ii. 
d*n*d in»r« Mis^rpllble tii Ui« liiflucucoeof (1<0 dl*«iU«^ 

One of the iiioMt iiit«n«Iiii^ dtarriptioiH — aitd tnm my lonj; irsiden^e in tli« 
tiicniilir I tan luiivb for its ncriirn^y — ■• tbo pitpvrnn '' Itigti altitiidvn and tli^r «ll- 
motca" by Thoiidoie WilliiiiiiH, lund before tbe IIi>ynl Mclcorolnf-iciil SDi'k'ly of Lon- 
ilnn .luiiuujr 18, 1890. In lbed«ai!ripti<<Di>f tboclimiile of Cnlorndo luVcn from thU 
finpar we And tbnt iu Tcjturd lu riiinfnll it vniici from ^.1\ to '£i,W inrhea; nt Iien- 
ver, I4.IT; Colorado Si<rin;rx. IM7; Simla K<t (tbo capital of Knir Mexico), 14.17 
inrliM; at Guuoiaon, which in T.OO fcot, 10.03. nnd at l.nndville. tO.wO feci, only 
IS.flO Inebca. 'Ilirnngbout Cnlonwla learcely any rain fill* from nrtulxr nntl! .Itny, 
•Hi] diif lnj{ (lie monlh* of Jnly nnd Annuiit ro<ii>l of tbe pronlpllation ooriir*. nl 
wbli'h IliiiT* lhuud(irat<>riiiii am of lyoqriaiit cH>rnrr«iien. Knon', wbiib oi'tMitlinially 
falls in thonntiimu atiil winlur. rarely don* to 1« ibeduplhof inunilban nfeninobua, 
and only In llin tnoiinlniiis dpf>« it ri'innin for atiy Icnjcth of Iini«. Tbe relative 
bnmidily. of n>nr>«, vurit'a with tbi> irasnii of the ynnr. For two-tbirU of the year 
il U rtniiarkably low ; for the other IhinI, irlion tliu rnitt itoriii* nre fiL>(|ui'nt. Iho 
arerv^e i* btoiii-bl up lo na to bring a pfroei];a|{<) raryiiie from 4S to Ui. Ae ttin 
unnilier of days ia the year la wbtrb rain fnlU i* enlcnlnted l» lie about HA, and ou 
meat of (btae tbnre iH Kimply a thundvnlurtn nnd Ibc rmt of the day pr-tfeelly flue, 
tba amuiiMt uf iiLiD->hiiie it kitnply rrm^trknble. 11 nd ptrrtnitaoneto rrmnin out of ddoni 
pnflipally moel uf Ibu year. One of Ibe ti-snlls of Ihia out-of-door life i* Iha 
remarkable reeiaUnce (o allncks of IrionebilU, nUivbaorinBopreriilotit in IlieEnal, 
■• the rcanlt of expoaure to aaddon chnnsiu. Children rarely InkeooM, nnd yot Ibn 
cbMiROa an rMnarkably anddun. At nunilown in winter the uirrriirv niny Ihll 
wfllilBBil1i««ror ■oW-', |i>'. nrM^; biilprob»bly (lierxreulTedTyiioMOf tbe nlmo*- 
|iher« b hi i<a«lf Ibe ranao of the immuuitj' lu tli« acute eabittba, boUi larjmgMl 



PAS-AMERKrAK MEDICAL rON0RB8§. 



1807 



^ imA lironchlnl. M prevnlMil lu h muiHter and lon-t^r flittti. tn nril«r In llnd mit what 
Inriicce. if My, tllma Hlinaspliehr pcoiilinricliii anil also iiltilii'lr* )i;id i<]ii>u n 
tiko whiKi|iiu;,' touch, I liuv* p'lllci'toil aoil jiroiciil to you tlic Piprrieiicv 
of a numlivr of [tbyiiirUtia, wba have klDdlf ro|>)l>iil to mj ciimulBr t«U«r. Tbaav 1 
give, na fqllowa; 



Xa 



V.J UrHuih... 

. lluUirl Work. . 
JU-aWMMt... 

I J (dill SjBlaelMi 

I li. IV AoilvnuD - 

1« KaliD 




I 



r. D. Wnlfeaitl. 
H.WUtt. 



{I, V hrlnxA 



'afaaUaw. 
r>Mi*i il. AlklM.. 




noes. 



rmt (;oni»>. Vuio 

PiidIiIol Cola 

Walinuliiirg, <:alD .... 

Santa r'.-V U*i 

(^iI-ptiuIv Hi>rlii£*. Colo 
I.M>lMrlr. Ml 



Furt C\ill>iii.Culo.. 
Ilrv(k(iitiil^, (^Id 

IVaiar, Oiln 

Uunlilar. Colo 



Haollu, Vjo . 
VuMo. Culo ... 



LaJaeUkCDla _ 

AlbiHicaiqaii, X. U«i... 



Ooum.fkta. 
4s 



Kalnu.Ciilo 

LaulrllKllohi 



U*V*gu,X.M«i|.... 



Cnlnnila ^priafa. (.'ola. 

t>Ditt*r. L'lilo.^^^. 

HUilluE. CalD. 



A1 tilling. 



A)*Bma.ralD 

(Imlar. CbIo 
Uhi*c«. Colo . 



Lanmtt, W^. 



DiBTcr.Calo 

tinliradoBtiiiiiji*. Cdla. 



fttl. 

i,»n 

i.vrr 

S,(MU 
111,1101) 






B.uim 



4.000 



4,0«0 



s.uoo 



4,1m 

MUM 



dooe 

T.tM 



t,OIW 
<10M 



Eipoiisnea. 



Ho tpfHilal DhuiSB bvm toit-bcwk no 

N« afii-'lnl lists. 

Allaiki mllrl, 

In iikQipTlilii); ]U« 30 |i4r c»Dt »r <uttca 
JmA'^ uiflunl BATnd li«-*r< ■Imiii. ittil 

Iji iiliiinL ^ ]>f.r i-^nT ^avr <lv(T«(e<1 Vul' 

vuUr lE«f'»li]i<, II i^li hi [ufMl L'Aam It 

1* U'>t I'l^ i^rpL H4«'t ImiL one 'jaa ouljr 

^vl<4Jp>pJl1J:C mtif li, ftliil 1l»hl vm II rbila 
ot & >«u*i. Ii4xt> iiiiivr uulU-iil iiftlii^ 
lua a> ■ OBIi-ii]n<<ni-« of wlionplnn 

NutliUiLc Ut bul«. 

Wiiuui'jnk; n>»kE^i iiM>r«(nUil, wLlli ntlivr 

■ II I'lEriKlrll )«llVil4r <Mt*rFll^ *3*^*1^- 

t'tim 

Wli4ii<t'jh|i 4^oi]jrli crtuDf nr* mllil, with 
liiw ,"iiiy»1i"iil<aiH or m'tiii^JET, 

\Vli,iwi,hi;; coibjiti I niiu limfv faial. 
Iltniutfli i'nLiij>lii'4itWi>H II HI I ti-^(;t»!t 
iipitn 111? r^rt n' i<4ivnTii. tliuii OHO 
unf bt luTKpi'i:!. riii'iijiiuriift, l^r-'jtrna- 
■ii44 oiiuctAlJuD iibil TrtrrUral i^itDfiiH- 

ll«IH. 

Wfiuuly liiilone tpMcinic liut vlDi«r: 
illnHMD •ni«*i-» iitiiEA s umnTHY or 

Tnlltlll l^llllllri'II lll'llr 

Whoii]ikiif( c«ui{li l<*« vsvnrti »imilf- 
iilluun abuui mmpi^ •ai(UcliB ICM 

M»n ?eicrT (hau In H*tm) Kuhmw. 
W1iw|>lui; laiigliiuuthuiildi'i, onlybU) 

roMh a rbilil turo vtfAk* ttUI, illMflUa 

A],iiL«4riiic llrtl nv*-k 111 lift 
Our niUL ouBBaocuupUcalcil vJlh pa^u- 

Ihnllla, 

ll»v( l.n.iersatrnaiiyta^iiiiln pdinl'inil 
hMt]>l(*l prafltJc* Id llcmpr, (tml llio 
rlliwnap mllilar by IWr, bul hkv f-riri>UI' 
ml Nil linpnrtut toniplliiUi'n* or 
■tfijcirljr 

Oi.ly <<D<t f»»»-l>oj uf 4, gortl rtionwjr. 

G<iri<«rhlly mill], wrthoiii cvniplli'ialliinMor 

No viiilnliun tna alaBilBiil vt walDtal 
IjrpHf li«i lH**n ohttntvl 1IU noil iu*liik. 
llAvrUivd ^Jycun In dm jfr'Al ihULu\ 
U ill N>v Mmlni, anil i )ii l.i>< Vci-aa. 
Xntlllnjc i'miilliif lb Kji dltliu-iL rilling 
Ulld e^iiijilif-'Atiana 4i>*l ii|H|ii,.Lir tar*- 
lUw alt M]t<it*lvc tjiliji'iiiir Lu -SE^rlfaf. 
vtlit ijflilf^hiir »rEli'Tik«iiHT'1l>all«nh, 
Wtiof>i-inif i-TUjE^i '^'"' ^"^^ n,t[it imal' 
tiaii1«(l iritJi I'liiitini-iili'tDfe: it" 'livtlia. 
Yn^ mllili If^ cttaiB» iH> *t<|U''Li>'- 
WboAiilns miEh |ImI fplili-miij tvry 
■anfa fftiflj 8 la to yean aia itnno 

''Xini' innntlm vtrilT mml Ihrw l3t« la 
fall '^ WbOAp^UiE ii>tii:tl riimnii'li uiil 
ujll<I, uaiur kutM uraili-^DlU; vnciiiirv' 
laacad, aoiaiilkalad, *Mli liniwhilla- 

Wnac la aarae eain baoiDae el inaaliaD- 
ieal MTtac of rartfted air flTDrluii au. 
ptijatma, 

llav* jita<il1i>nl tmnty raara In tbb 
laiairt^, anil fuaiiil ili«>lii«*M alioiil •• 
npmaiiWil Is lb* Wii'lnHiki- Hatao 
•idilrmMf HiTin anJ anm* ulM. 



1308 



PAX-AMERirAN MRDIC&L CONORI^SS. 



We faar« tliUH ouiltiavoTud to a«cerlalii Uio vinwa «f lUmto wl>o nro pretty well 
•rattirnl tliraiiglioitt tliU soclioa at vnrioii* nlilliiil**, ami llivii);li it in al>M>liit*ly 
ItiijioH'iiili! to KJve u )>uai(ivL> rt'jily to tbe (|iii>HtiniiA »Kkt>(I ivitliuiil > rocirirl liolux 
tjit of I niini. 11* iiIkiiiIiI lis done if aoiciililic vmrk U to eoine frum ciiii ilxiljr «x|W- 
Vl«iico In tlio fiitiirv. evM) tima ia impns^L'it moru or IcM wttli ili« uliuriicler of 
Iba «ii»f« vrlil''li linvi> comn to \\U notice, mid llii.-it« Blati-iiiMils nliitb I hsv« ja»l 
qnolvd povtlUy rcf nonnl tltc tar.lm an tbcy rciilly Fxint. Wo niu)* tlioo conelnda 
thiiC lh(<re U very little tlil1(ir<-iirn In irhoo|>iii|[ ooiikIi ■■ ■con hi llii* itcction from 
wliiit lie likro bc«u ai'L'ti stum oil to uote nn tlic Kn^triii i-oakI, uiuI tlint tli« liltl* 
dilToti'Dce I* pnutUy lU'i'piiili^ut iijioii n[>i<l«oilu iiilliioii<'<u. TIk> rniMt 4<-ri(iii*i com- 
pttrtttlou oott^iinly luvmi to bo imumnuuiii, and tlioiicli tbiii 1* n cuttiiilii'ation wliieli 
to be feared crerynlicre. it bun tbe giiMiliul iiigtiillcaiioe iu an ullitiiilc wlicre 
rjHivnmooift m * rule in a veiy fat«l tliKeiiBe. In Ntir Muxico, accociliiig tu Dr. t'lnn- 
cia H. Alkln*, nlio )■ n wrll-ltnowii writer on tbe clinialulu;;; of that uctl^n, 
wqaetiu aro ram. Dr. Jnnica Wioth, of Albii>|ii«riiiie, nUuaii exiiprienco i* mont roil- 
aMo, a!*o ilwello npon ilie oxtreiiiQly iiiilil clinmctcr of tlui dincuap. Dr. .tolin 
l?yinin|(ltiti, of S*u(a 1''^, nbnua prnctice bni bocn an exicuiivo one for miiny yara, 
•p^ak• of Iha ilUenne a* belnjE mild and rainly compllrnlad, and ihi* at an altiliid* 
of over 7,000 foal. Bnt that mitdncw of ctimnlo baa Tcr; liltlt to do nitb ihia 
r««iiU id oliuwii in tli« ■latnni^nt <if l>r. J. II. Flnfrocl:, nf I.nnniio. VVjo,, at nn 
altitiidu of T.-IOU fi-ct, wbo <|HntM lltti Nyr'a dmc(i|illnli of tliclr rlinint* aa ''Nin* 
niiiiitbii niiiti-t and tlir«e Uilv ht Llit> f^ill." In wlilcli lio uo(h that wbnuiitng conub la 
common iind mild, dut Ilinc it i» rre()iicntly comiilioated witb brouobilia, «Ll«h 
could ha «Ki<ccteil in to ri^oruu* a climalv. 

Id Bniiiinint; np ue luny tlieiufore coiidii'lD Ibal aa tbe cobg* of nlioniiliiK cwiitlt 

receive tlieir grvutcnl benefit from liring in tlic fr<^b uir on (lio •i-n-lorol, to [km*1- 

I'lily it in tlie nnioiint of fmli uir iind oiililiiiii liVe wliicli milinntm it* (rveritj' on 

[tb<u^ raoniituin ii]o[u«; tbiit in ihiblicn nlio nrn bvalthy altiliiitn nf llavlr doe* uol 

[•eeni to inllnvncn to any vary grtstt dngrre ibr at rain nf tbecorii:li in tlio iirodnctloM 

[Of heart tmulilv OT Mrionaly impair th" tnng alrtictnr*; tliat tile robnttneia and 

nailienoy <if yoiitb *ooii coruliln« to mntntnin the bnlaucn of t lie ciroiilatloa, kail 

Ibat alao tbe nurvoiM ayiitiMu of lli« ohlld. tlion);U idoio jiapieMJ ihi able to reflex 

liriUCioiia, duea not «mid to Im hu anaoejiUlilH to climatic inlluenoB* w that of the 

•dult. 



I 



PAPERS READ BEFORE THE SECTION. 



THE Itf-tAXB DIBODDERS OP cniLDHOOD. 



By iOBX ItADI&ny TATLOR, A. U, U. D., 

/ViVWMr •/ BbMtN if CUUtm. mUtt^Ua Fy^MHtti Pnftt-r ^ Ditnutt ^ C*adm. Itt^tt*- 
C-'mrsii*' VtOif! Jivt4Unl t1.9liSdiHt Ot OI.UtH»U BnpUnt. AtttMaM f lh««M*« M U< OrMe- 
pnfw Jf xr-Ul. Xtt.r«!ojM to U< l/avarit Ufplui. FMmt i»f «U eMitft V nftHan*. aurtlaif 
^ Iki t'HiaiMrliia Sttintfint SetMy. alt. 

It eomeii in the way of Ihona wbo »e« inn«li of cliildrcn'n ilinnOMw tn n»Ml wlUi 
iniiny coara of what 1 prefer to call iouao ilitonlcn. A ootuldcratloit of UiMe, ntbar 
In Uif lino of their Dalnro and nqiiKomnDta tbnn olnbomtp •imciilattoa aa to rrnma 
tloN BDil plienoRicnB, may prnvo of um to tba practieal pliyaicUn. 

iBMnltf arlaiiig frain Ilia aanie noiiicoa wfawico It oomea in the ntluli la tats fn 
diibtbood, but mental defect* are only too eoiniiKin, and grow wofs* witb «tartllB(| 
rapidity anloM mutt olMly lundloil. Minor DMBtal ilelleotioiia or Biiortcomlnga 
wliieli may Mtape allentiim f<»iai tlic l'(iitil»);i>iniiil r«i iuurailirjibly oiil menial attl- 
tUilM t« iBlMIMidjr root. Aotiire duoaae freiinuutly diaturlw tbe oot«bt»l faBcUoiM^ 



PAN-AMERICAN MEDICAL C0NCUBR8. 



I 

I 



not ncoTOT Willi tli« «iib»lilene6 0riUua<iilUpr»oeM, oven tliungh tb« 
Mntrlnral d>Dini;D b« Biiiall, \Vli«ii tliU uueim, It i» iii>|>cni.iiil rararitlly tu dJtvct 
•ven III* «i»|<l(Ht eiluciiMuiinl uikI disoi|)liiiiir)' lumiitureH iii oiilri lo iuliiliit riirlUiT 
]a|aM Mitl Niiniii IiralUiy loci'. lu ■ Iud); DXporiviji'i' hi iliHpraiiry «'i>rl( iiiiionji 
eliUdKR Mck OMM bnvi- occuiiicil niuob ot my utteullun outl r<>rtum |>riuciplciii of 
g«l<La«M bsva IfMomo (Di-matHtcd In mj miiul, wbicb ma/ be trlie niionKli.'liitt 
MVMtlialMi ]iTOTo of nnrvlcu lo otliM*. 

lly pnn'Mi la Wrall ntloutloi lo tliti CMOal ftictor* irhlrh ilionlil bn ncriitiiifxcd bj 1 
Ui4> pb^akisn Ml »cM>ii »t Uiv li-flitC Kroiinil for appr<ibniiMuii ai'lHi-n, niidiflerngBDeral I 
foaai flora tioii or lbM« [loltit oiil h"w t« deal vrltli itiinpiil'iit* pli«iiumeba. Tho 1 
nuwok nf tbcM Btatea sr« njituy ami of niilo ri'iicli. Siiiiio nrii the outcome of 
dtpnMcd pbyairnl poventliie to wnnt hikI iiiiHury; many iii(ir«, bo« ever, are the 
IMqII Af cMrolcBB iuAf:u, oumpIick'iouD, nuil vice, lu I'VituIu parfiiliil Utidrndei i 
lb*ra Una ilnniii'T. Vitinlml uppulltcii, an for iilcubul, opitiiii, or evrn tulinncu. intM^I 
tac« wltb otbor, or »ro thuiuulveii it giuunil fur. iliKueeH of body n« well a> of mind. 1 
TabcKulou* famlHi^a IViiigiiRnlly preiKiit instnniM» of acnlo n«n*oiii< dUi'MC, tvnuU I 
ntitiVK '*) Bwlft btalillcji, niid offer alia tilllcrt-nUtinf; power n|{Hiii(Ci'\H(lii^r»uHea. 
TlieB tbore are fanilllni of ncl.ibly iiiiULlnlilo iiervoiia ri|iillil>rlnin in wliuiii u<'utc iliii. 
«*Mii«rov«in'ttiaiiht ctiiolinnii viotk Mil bnvoc. Ciiltiviitloii of Ihu caiotiuiia iu tbo 
wmf of niundane ur bi-avniiy Ihhiin. or,* per <<0Qti», an utxtur octieticUui ur iwir- 
npToMhw, inay wetuiae a faortfiil oifKct upon iliv nfTiprlii).'. Wlieu tbcM varlona 
ouani Ibna aketcbed oat, and of linittli-ts scope anil vni ivty tli«y are, beeoina ■iipcr- , 
ai)4pil, one to tbc utb«r, by the tnanini'B of B tutierctiluTiii fatlier to an liyit<-ili-at 
liHillirr, or au alrobolic father to an uvotconHciuiitiiiiiii, liigbly apiritiial iiiiillii]i-, 
<llaa«I«r inaf be jitoitlotcd for tbe i»t)e. A|;aiu, upon the tiiiproMiunatilf nature of 
iletelopiiig ocrvoiM ti*iiu<« of a dbild hypcnrntitivo tiy bcmtlty, vxclllnf; oauacs 
act only too ovctwlMlaiincly. luflni^npca rapablo tboiiiwlvo* of djiilnrbiii); cvoo ft 
brat Iby-iui tilled ehllil am iiiaujr. A<>iil« rehfilrdlarnnra prDiliirovniiiinoiily deliiliiiii, 
»tiii:h in ilH'lf II trautluiti iimaiiity, ai>il tliU tuny |'hm ullcrly antl (|iili'kly anny, or 
lonva an iiitldiMa aliun on tli* car«ikniui. That f>iirpH«iii^' conililluii which we 
leRard aa ncciili^nlal, bcoanae aa y«t ire do iinl knuw bow to eipluiii ita ori|{hi, 
bnowu aa pn^oeily, t* a auurce of pt'Hl if not an M'i<)cnve of nn'rital itnMiiiiiilncaa. 
Il la almoal never a srouDit for jtaictir^l niatulutioii.uiitl only niii'lyfu)rilb]-ouIhl'iil 
]m«ilae ami oM aeMom pivil»liiiea ila puneiuor to iieiiiuaiD. 

The fihiMi*b brain >■ very vuluerabte at all llmtii. iitiil demntida for ita but devel- 
epnw'iit ■low ami uiullitnibnil opportnniliea un<l whotnoino eomliliona. Tcty inneli 
uwiilal eliniDlan U alway* bnrtfiil, nlthoiiKb pure tnli>lleeinnl pnnbins li> Miiil by 
Cliarrol lu Imi In ItaeU locapablii of li.irm, ptovlclnd oib^T wlioltonnie pbyalral and | 
mural <«iiHhli"a« aiv lualnlnlnfil. Tbn emotion* eviilnnrn ihcnmelvra llr>it in more 1 
aatiiul tleliRfatCTlnM*. oven ibiti miinins alonjc the liiii« of niice*lriil lrait«. Hero 
Ibe jtarantal coloring of niinil, liahil, or (%stviii>r la aliown in rorioiit I'liithfuluoiui of 
ilelail. Rve* at thia stage bml babit« may lieconie •kelchcil in opim the iiuptva- 
aluBable trfeptivu ueDt«r<. nbicb, ellber «lco■lrngl^d or iiugloi'tcd, forin tli« grounil 
for futiirti calHiiiiloiiii bappcniug*. The vxpitiiig ranie of menial diatnrbnnec* difftt 
hi aanHi taa)MHi(* rruin tbnao of the ii'lnlt. One of tbe moat aetinna la mplil nltnrna- 
UnH af l«m pern til re. (.'hililien notably btar heat anil eold laaa well ttinn icronn 
liillc, aiKl n baby Iui<l wllb ila bend defeocnlmaly tnwarri a bot ■love haa in Mveral 
in»t>nr«( liecni driven int« urnle inairtn. I'hildieii bear pnln iiniianally well au far 
aa naulnl ddlreu gom. Mnvb nttvnlinti ha« ben ■Irawtt of lali< by rbinuliiulel* laJ 
ailaiwM grow lbs of lh« nuo-pbaryniaa a caiMD of ment^ dej^enrralluii. DiHUtiletV^ 
»r Iha itlgealltn ori;aii>i ni»y (onn fnriiliunmital perv»rti<>iia which rctiilt in a iieTiM 
of tvllei iriiialinai, selling up, nsmilly, only trantivnt •litlnfhiinces of niiud. Tlio 
•aN*e beJng riiiiiovo<l, reouvery eiisuee. lnl«atiiinl p.iia«i(<vi eansn a variety of 
narvitna lrii<ilil<'». bnt vciy rarely iirlual insanity. KuiCfnlly itirrrlcit moral cauMa 
ifa very «l1lrl<iil taclorn in diiliiibiiig the mind, both tcnipoMnj} and ntoru scri- 
Dualjr. Tba shock of {tighter overwl»elinlu£ draad la povretful fur tuuiu oirea iji 




1310 



PAK-AUP.KICAK MF.DICAL CONGRESS. 



vliildMn pcrrcfltly licalthy. R^ligivua tcni^liinit* of * lurid byporbalio type »ei m ft 
luvof ti,v wbicili Rtcut luriii i* wronslil. A* a potent ncccnaury fuctur iiipBtatJIUiii 
liiu Id ill IliMiu 1>oi»n lui iiKciit to dnllirimn iiiDtiibl* mliiila. A<'ul« iliwiwnliB 
fpilila •ijiiii.'o if IiaMii 1 * HCBiUt fornr, iir lytilmiU, niiocUlIy If BcaaiiiiiiuilfHl liy 
liyiivrpytiixln, vary ofli-ii nvliK^r* » iiKiCautly hmtltliy, vliivniue eliild to hb linlu'cllu 
or II iraiiiHf. U»*liirbnli<iu whh eixhtpil Willi ov«riiiarli poviot for niwiUl liftmi. 
Iitil i« ('rttaii)ly ruiii>i)ti»ililu fur toiuu. A brutal, ilriiul(«ii fatliN, Mlit* TroiD pmafttal 
•'oiidiliuii^ uftiiHiui Ifltior itiiil woe io yuiiiig iihlldiirij, ns wril fta jieiTcrtvd luoniiH. 
Exuiii)>le ia almont ho j>on«rriil foe liaiiti uo sNoi-ilril truits. 

C'liildn.'iiBuliji.'ttfil lu long periods of waot iimt Mcpoiiur«»r«ecrliiin tofiiilof ri)ibt 
devcluiiiuMit nnd to bear nutne ilain in tbo muntl •otiscKif not in uicutul kcaity. 
' Ilenee, tbe wuifb uiU tita,y gnllicrctl up by the itinnicipBlity or by phlUntliropin 
McinttcH are nf qnenCionjiblc invnlnlity siiil (li^iiinnil iiiiiuual com Id ImplantlUK tti* 
wudt of luornlUy and rl|cbt coiiiliirl. Tlintu iniial rorvlTn a iiinro iiilmillvn fnna of 
Insliui'tiun tbaii otlivr* who linvu oiijojroil it bnllvi dtut in llfn. Tb» fimdniiiMilol 
toiiiMipt* \ivinit ml fikiilt, tnu a<lvam>uil liiniriirtloii (iiily cuiifiiare. 

Tu i:uiiit> ut a atalistical huiiu luilco <iC tli* prvvuloiuH uf uiealal dUordero in chil- 
drua will ulwiijs bH liedgvd about witli ^nkiu d i lilt iil tic*. Pannla are not nsanlly 
WBlvhriil ua to Ibew lUlw, utid oie even mule rnroly eoiupolent obiwrvers to iplcr- 
]>int iiioiiial di'devliotn nud ■liviloiiiiiiKn. UoreaTer, If n *iiii|ilvloii uriao* In a 
luolliri'a bronil an to tliu iiiriitHi noulKlitota of hrx olt*\tt)ag, it la llk«iy to bo llgUl 
loiikeil lli<-i<ilii aad tbaroil witlj no oiio ilvlii)i. tiutl) Ibo rot>vi<:linn ia reluctantly 
fuvriHl iiiiou bar coiia«toiiaciei>ii fiuui re|ientcd overt «Ml». Hvtrvtvr, It la nira to meat 
a iiioiber cajmbleof riiihtly liHiiiiu^ n rlillil tiut iilti>ic<itlict irlae. Soiiio, bntip".", ara 
ailniiiitbly ^irtwl iii Ibla rMpeet, niid if the iiiutiier ia cniiabli of \ivUie ur will sub- 
luit lieniolf to be carefully iuatni«ted Low buub a <ane aliall be managed aoiuettlnH 
tlio very best teiiiltA euiiie fruni bouie care. ]t bua bueu my cx|i*Tieue« loaeaMiaw 
«<xcelluut itidauMn of LbeBo niotlierr. and 1 mil inclined (u believe that this pnrti«ii]ftt 
pouiibility luny be very mucb nmplilied. Afpiiti, 1 Vave found iuimc'liiito rcInlicH 
wbo bcrli ronlil and would nmleruikc iliia care, and bring about aicollont rnaulta. 
Ah u rulu, the mother i> ■» hampered by her emotional view ilint her Judgmcatlanot 
j^mI lu rTajicri to her <iwd child. Tlien, tbo probloiu artua li> irhom It may lircntn- 
luitted. It biu been iny ou«t<ira, and I tbiiik ftom it aouii^pxrvllent reaiilta bave 
oonie. to alwaya March about auioujc the boinu [H>asibllilii<a of *urb a oa»e, and uot 
acldoui thum baa baMi found nuuio iiuud maiden woauan, vt vriduntsl aunt, or child- 
toM {leraou, wbo ^nuld be Iaiif;bl to du wbat the aame cliild't uwii niolbct might be 
■Ilia to da for aoiue other woiiiati'a eliild. We bave befoi-e us always the adnnrabla 
•xainpto of the inaao-j colonrea of Kurope, where nieh excellent lesiilta come from 
boalineut in privato bonsu, aud whenever tbia cnu be nmomplislied it la better ao 
lodu. Tlie wcll-r<T|[ulated oaylura iaabmicliint for itood, and of tbe oieutlni t aptelally 
iualruet(-d folk who rala therein ) havolittln to kiy but of jiraia*. 

M}' tliviiie bcM U tlievondnet ratliar «f tlioao who may not enjoy tliewadvanlagM, 
eitber becuiia* they ato not ii<IJiiilKeiH)t»ubjeelai>r whoae pooploderlitia toaund tliMU 
thero. Uor«OT«r, Ihetcreut body of mrntal aiisfwi^ta wboaMM|i«a1all*ti(-al record ia 
■t the mttef «f Ilia family duoior, and upou him Ilea tbo rMpoaaibility of dirveliug 
llidr care and teaoblns. lleuoa tbo bulk of tbeaa are to be Itmted al home and tbe 
average meilkal niuu enjoya a grave privilege. 

lu qnoatlouing. examining, and ut lier wis* deal iuK witli tbe phlld a* a naurolic 
patiiTUt, aucveu in arriving ut right couchitiioua depeuda aa uiu«b on the denic«iMr 
aud rnndoet of thr physiriAU ua on his kaowledce. With the aduti Ibia may poaai* 
bly not b* Ime, but in roapiwt to tile lew dinetrnliaied menlnl largnnitutiaai mjr 
pfiipiMliion will bold. Skill bMU of mocbcxporienreii needed to win tbeeonlldcnca 
ofa vbild, mid to Ihi* uukt Im nddeil laei and gunileneea- Here nsain. ffntlcfiMa 
ahould not laek a Ui»n)( iudmloo of llrmuean aud ilei-ision. If tbe piilieut Im one 
Mbuae iiilud or d>>j|iwa)li«u ta dleorderod It ia of double iinporUaee to approaeb tbe 



PAS-ASIEKirAN MEDICAI. CONGRESS. 



1311 



* 



I 



$ 



ifllplttMtwiKhltAlllMr toWrtiMMiiUnl faoln or tu apply rcmoilUi*. Modlclur* will 
otttm ba i|iiit» iMwIleH*. biitmni-Al I'Drittiil aiiH UetfiiT ilumiimllou inii>t li»«vi>ifurtli- 
•oinliiit. Tli«]>l>jiiiciniiilii<nj<ls<ioi]vpi] in imprrstiiii^liix |>vrTi<inuliCy<i|>'iii I ho iialiout. J 
llr aiiiKt rriid'H-lil niilwilie'l powet, lirlpriiloiwi. anil jti^tU'i'. In ttoxae hiitdnow )!• J 
may lav of luvliic luuiiiwir, pl(.»>llii|; villi tLo (itinliiiiilo but ii»uiiiiv« onlurc. More ' 
iinoli Ii» ■■■■■■■U M ]uiu> nit n kiuilly yet at«i'nia*t(iilti|t !>cinti> t« wliom ool)fi»i>lon liiilat 
W miulo WKMi ot Ul«. Aftalri, iivir vi>!»)ile> highly icrniil'lr- ciMifeulMii uiiial bt< di*- 
miiMlfil l<K>. Alwayiioboilixiii'tiiiiiiiit hv vxiu-.trii, )>iit iniiipirrcd by Attn Toiwiilctuliuii 
i»f Iniaiedtate ■iMiMuilli'*, mill no iiioi.-. tlmluiilly biiii|>1<i yot •ynU'cniilla iixuMiirM 
Hiuy In givBQ utiupe auiL jHiabed HtMilily tu an vinl. Mnrli lactfol *)ilfllii)C of udm- J 
*riittul lupuunw are nt tlmM demanded, pati'uou and )iiiiiii(<«« ulnit.vs. 

TIm) iuaMDc dlaurilmi, as tli« iNin i*ua«d bl^^o. it itivnut to iiicliida nut only iiMaiilly, 
tiul tliBt niiUiiD of inauaity nod liyxtvria vliii'b U ufltiiii** iudtaliiipiiiliubly 
titi-DilMl. Not nnal byatrriu in tbc latiCT aijintlii-itncc o( tUa word bv ewliiiUil. 
llyaUrl* in ImitnUnit m it dnca nil nrnniiiw yet nnver prHcnta * pii-litn fuitliful iu 
•MotitUI (JaUtlln. H nlt'oni llir laiim aitpiTllrinl nppcarnnera, tiut ia wantiiiK >i t^i' 
iMUaiMitary rlitilral AniliiiK*. 'I'liv fanh«liav«ie»])«icl<illy todowlIliUirpbntiaaiann 
•fonae*; nlw Willi Itiv iKuat Hyiiii>taiii8 Hiich as vildMii-o Httiii^lural tlintiK* ami witli 
Ibw Iriip coune uf lli(> disoiiluriiiiiliilvd. Hyti(«Ti», wbUv prvfiiiiiiiniily nii linitntiuu, 
la iiul nil, uur u«aily all, triiv aiaialiiliuu. Iu cbildrvn il is )iii«!y aimpwU'il, liiil 
■Inaja poMlble ao bwiii a> the rcrcptive funiltivi and puirer tu fuiiu i>oiicirpU are 
fairly fulHlilLiJiril. TIh> brvdlou rxainiiinr nill »ricii kit* tu (lie alircwd nliu-iTntiuii 
<if tllr liyatnrlral or ilitiniie clilld Inadisic (loiiitaon wbkli U> fiulilitn Ita •.imploiii 
Kiwiii" liy bU Idio wufiU and IcaknK* •>( iIioiikUI* wliiln tliiakiotc'^lo'i'li '»"l ""*f ''<■ 
Uiiia iiilnkd afar. tl«r«av«T, Um <li»tliioMi>n lii-tvinti (tir*iictniH'l> rraanibliui; roti- 
dlliiiiia » oltvtilliim a purely relaliro uiatt«r, to lie drridrd partly by ili« pDrit»iial 
tmtlu* ot tliB alwsfriir or ttiu tovlnl or Imliridiial ataiidiinl ol' Ibit puticiit. A|;alQ, 
hjatoria and ur^aDk- bruiii iltMaia nay ooejuKC, iiot often iu Itiu tbild, 'tia lt<i», but 
Will llicie prova Biiiat puxxlinK' 

Mi>ral perrcniiMiH arc boid to iltsliugiiiab from lueroly otII and victonK Ivniluiioia 
wbirU n* ncfinirml by a alupiil, JmpiewtotiBblv Hub}«ct, The iiiorat inibei.>ili: ia 
luWri-iilly li»d. II«iaiui i»*lin«liv«Iiar nnil Ibicf. ciuiuiuc aud aktllfulln mitcliicf- 
makinR. anil if iu otlinr waya aocmliiBly (Himpctenl, y«t luupi-iikably pi»vuklnK 
In tba par«iil or t«a>'ber. To kn»w how ta lu'it deal witb aiicli ia generally rondi- 
IJalMl u)Knt a rlear dotiiiliin im to wbetlirr onn baa tti do wilb an iiKM'wlit'iiblii vlc(<i>r 
J i waia. lirrn ]>ti>l>ably a>unii) lining, or x piiu^bly ramovabki dlKord«T. I'lic louiii . 
tltlnx i* ""> t<> BlIiiiBpt Uta rlali(ir«(« a plati nX '\m\ttnv«ta«M, Mill wboii Imi liv iiiid«r ' 
farorablv BarrBciiidiiiicb In p\cr<iiiii- iiilluite fiatii^uoe and me ubunilnnl (iin*. He ia 
tu bo HiB4le tu know tlint nbil<< uul to bu Iciulfd uT bvliiwcd tbu nliuiml <»ii-iMiraga> 
nivul will \ir I'lijuvfil Bii »outi an evidL'tjeea of inipruvi-moat uro oliowti. ■ 

Alo(iE wItb ubvionnly irrlek«l acta «ol-ilat oritm evidi'neM of diaeaaa pnxMM M.l 
can* iilitiMia. 11 ia ofI«n moat diffifiilt lo dDtrnnion if tlioio W epileptic or by*- ] 
tcrii.-al. TlMiaa Diuy bo lu eoniblnalioti, tuo; liyaterUal attauka in on apilojitlii aiib- 
J««l 1* a lilaailtnit t» wlilvb Ibi'r*' la no kojr. Ty]>li:iil elmr-cnt coao* of iiuurotie 
tiialadlca aio iHiiie Uio eoninxin, uiiil ordlanrily 11 1* niily by Ibn nfl(4' frnila of IranU 
nifiit iliat IlKiy abal) ba (l«tarniliiud. A larue fvinlllitrlly wliU byalrrlval aluloa | 
Inrfvaara ona* napact fur tlw dlflkiiliiiw of diirvranllation. ^liatvol'o diaf-uiwtia 
)i«n«ni of bainlaaiMtliaaia, iilfix'tioiia of sigbt. bjalrtoj-rnio xiiiira, Uie Affect of 
vaUieaiogvaln agents iijkid Mnailiility and iDulilily, ntany limes cnn uot be rexlily at 
pcotiiplly appliad. Tlivu tvUalorat ni-idcouo iciial jqiitile tlir pliynivian, llyateria 
ntilal liave hulBS tori of andieura atvtsya, nnd nhcretnr vunil}' cuii In dctootcd. or 
l^ufi'ly ■ii>i|i«(*ti>d, il will bnip lo delcnnini' tbc nature of ntiack. Tlio iiialiiict of 
tbn pbjalnaii it nlau a liolp, but Riiiiil not bn niLt*k«<l by priijndice. 

lu tli« tnunaiieiiirnt aiiil nior^l Iraiiiiuji uf ibildinu uf byaltirkal or innnlne«l 
UMdsdtiM lbs flfM aieji la be j^IimhL by pb)-alc4au ar oiuo Ukur ia to wta Ikair 




1312 



PAN-AMEKICAN MEDICAL COKGBE&S. 



I «otifl4«Uc». TIm bMl tnethod to pursue it to alioir anil pmervo n IVnnk, qnlatt 

' ;«t peniii)t«iillf friAudljr, duuieiiuur. In Ant ttit«>n'iewB it U trUo vilh Btl ublldlva 

tOBVoid D too ilirvL't niid iinpulsire approaob. CliUdiab conccjila conumlovly ; rnii. 

vIurIom whioli nrn boing rorniDil villi no gient prouptitndc >b»iild not be liiinird' 

Ov«rpi«el)iICiincr olfoniU. nnd tlii- r»ult in ucentiTe. Verjr miioh tbo Mino oouti«4inft, 

L alr*l|jbtf«M*kril mclhodo win k cliild irbicb prevail with tbo elder. 1 bavecUa- 

B'Wber« Bnipbul«id tin* (I, I'niT. Med. Mug.. Aug., IMlll ;.nnd sm nior« tbnii MuArtnud 

lu my rivwB. II U well to ntToRo iw onarlj' u poHlhln tlin dll)'«r«inMa of »gc or pnat. 

tiim betwMia llir pnt>«'iil >n4 phjticlnn. AKtanin Imili li> W on tli«Mne pliDi', tbo 

oueaimpl; tnkiug tb«lLiltiallv4>. It U liitonituliti? t<i inu iivw tboan who lutk babj 

t*lk, ft* it in ludivruufliy iiiivcnllod. to eliil<iieti. evt<r "iic[^o«>d iii ivtidt'Tiii;' IbooiMlvM 

<ith«rviso tliDii niiMt oITL'iitiru. Tlietu it uuthiii^ wiuiiiiiL; lu tlie fuvblo tii(cIIL)[cnoi> 

111 bcinic trealcd an un aaimul. So, tiiriistini; uf tliuiubs Iti lliv uuproioctcd abdotarn, 

elimlitng niidcr Uio ohin. cto., may eutiTiilae tbo inraot witb Tcilox Innchtor or At 

tbu jiTOlMiiiin n^iiioari'uu cut by the uDoau aciiii};. but dociiiot iniplre i^onfldMie* 

or ■dtulration. It ii> llkn woli-mcauine folk who attempt lo convfirao witb • lot- 

fritter by aaitig lirokpii Knnlliih. Thl« la no liffbt mattnr bom dlacimwd. Kiio«l- 

edits of tho iDuiiUl pri>(«M»i« of tbo patlont onnnin«t b»vv,*Nd acriirat« inrarmatiau 

oiilf aamaa tliiKUKh iut«lll|p<nt (laMtioiiliiK. I biivv nippnt«dly brrn nMu to MOiura 

t]i« tlteatlon Kud fraiik itiDmi-ra of « vliilil wbioh my oniilsnta bad iitl»rly fuiird 

k> Ki'I'i ^y GuuTvyiii); tlia iiupnwtioii ttiitl I Wttn jutltilcb a iicniiiii «a Ibvniaeli'ea, vho 

naked «tt»iglitr»iwiird i|iieatio[iB aud fully intended loolituiii miually cuiiilid rvpllv*. 

And if thia W true of the niMliciil miD, lu rnru iiilurviews, bow mucb mora nondfnl 

la It that thoac who wntob and direct tbn daily progreaa uf tbn child (ball prooeod 

Lin til* tamn irank, honaut f^ahion ever, ruoiihmaiit ii ■oniclimen nouded; iiliar|i 

FaoniA'^l I>>ii>LtJi"i''iit, too. tiiomn ohildrni) of low tADo or vieiona hyHCCTvldAl cliat- 

ftctcT nr« Ainciiivlilo to no otbar arKiiiniMit. Who abnll adnilnlator thi* and wlien ia 

of the gravMl impurlauce, aud oily biriii mnwn of l^M^k of JudKnii-iit here. Ho«o 

ofleQ (i'^tle doniiiiaCiou or kiiiilly uniiuiiiii;;«iiieiit will euRlc*. Ajucose, banioriiiji 

.tone alao pffoiida. tii-giu by qiiustioiiiiig tlii< attendant, pamit, or iiiirne, tbaa 

nllowlnii tho child lo take bnaiini** and aoa yuii am uot an ogn!: tbrn prooeoil to 

nftatly draw out Iho cblldiab thaD;{bt9 by apsakinj; uf perfectly ooinprehcnaibto 

kulijecta drat and olhorii iudiruDtly. and liually diieclly quoiliua, 

' It ia often tnaat dlfBualt to <oaviuce people whu aMiiuiir tlw care of poor ohihlna, 

and who are tbniaiolTiw aimply well-innaniagpliilniilhiuplntaiiuinBtiuetcditimnttan 

of lai'iital dorelnpmnnt. that the morally or lurtitally inllrm abould not be allawad 

tbn aamc ni«n'>iirr of privik)[D oad rMpooaibilltjr permitted to othera. Tbla ovu- 

caltlUtenca niau.v ClmiM teadilodtaaaler for wbicb thcao>;iety may heboid to acvoiint. 

lllBmanihDra of aaeb Aoclc^tina ahoiild liifiirm Ihrmanlviii cartifully not only apon 

1h« aitlijei'l of tbo varvlnjc eapacltlnaof tbo indlvldnali entriiat<»l U> Ifaoir cliarRBi 

hilt ID a ueueral way the prupnr iiirana of inanatcliij; tlinin whoko tnrtitaiity ia oilber 

eaaentially bulow pat or und«vol(ipeit through vlc^imia Aiipprwiiun atid {ledraniiaa. 

Ithai beuo ai.v privilei^H to ba coiiiiiTt^il with such in an advisury nuparity, and it 

crieTcd my ho.irt frrc|ar.^iilly to Noe Klatin); mlatiikm oiadi> partly thtouKti well" 

liitontioned iitai>rau«> ami uul aulduai from raio •eif-auflinienoir. 

I«onld relate iinliDve!) of moral iDih(«it«e Bhrawdly matiipulntinK tbenood tadiea 
for ibnir own Holftih eoda aud bocomiug imtriovably ruined themaolvta, for nothf ig; 
>o poniMOonlly ilo*troya all rnmnaiil of moral aeoiao on tlui •xetclae of Ihiovlii^ aiHl 
lytnu i>r<i|inaaillM opoa crodulona pbllauthropiata. Uul If thla U bad for bnya, liow 
iniKih wiiiae lo allow ulrli to ki^w up tbrough tho critical potlmU of |Mibivty 
fingnlilod in llio aatonllaU of aolf-rMpoet and pnrity, anil boooma eipoaod by Ibeir 
dadcJCDoiaa {■ nora) r«atraiiiilu tbo many t«mplHlions offend b^ too great liberty of 
■poooh aad aolioa. Several laniNilnhte inatanoo* iif ■Btnal perver>iuu and aoeial 
deatriMCian bar« cniiui my way ereii after 1 bail rieart.v pointod aiil the diin)^. Tha 
cMniMinout ntomber* of th«M) aociallea too oflon furgvt ibal human obihlrcv vary 



I 



I 




PAN-AMr.HlCAK UHDICAL 00NGRE8S. 



1313 



.wUly. 



*nil I 



■Um 



I 



, Dot only in ni^iilnl rii[iiBi')(i««i, Iiiit in ilpciviii-i nf iiiiirnl «lHhi fr»ui aiioartry 
tmlniiix. Il i* Ilia iiflcii nutiiincil Uiut. giwu ruawuiuliln oiiiirii-iDuiliiw. ull I'hJI- 
dim wt)l t4iuil Rirailllf 1(1 im|iti>vp, TL" rhililtPii r>I' piiii|ivr :iu<l crimionl clitiMra 
bml iiuiRl fari'fiil wntrliiiij; htiiI iiniistinl Iriilniii^ in llii> fiiii<liiniclitfll |>tiiic'l|ilrii of 
uiiiT>Iit>. lintviul iif llii* Uivjr iiBiialty gri Ion iiiiiili liWriy nnd fnr tm- miii'li rfll- 
gkiit> I^W-'biB);. TliP triiriitii* in ri'litjioiin lh»ii|;lita timl u1i>i<rt niivvii liuk a ti<iiii(iti<'.v 
Ut lamtor Ull i>\KKici>mr<i •■iii'itiuii, vliicli in iii •oimi vuy*! rliui-ly ii[lii-il In m'vunl 

irllMtiMil. ].!■( tlin iiiornl iiiatriKliiin nlviiyH pri'i-i'ilr tlir r4ili|;ii><w. A]>|><'ii<l»<l iiru 
mrlo* vf llifp"- riiH-a— tW'i "f m> i;iTat iiihTiwt. Imt, <>iir riUicr iiiiiii>ie. Spwml 
hncliof the iliH'piyil iiili-iuiil Iihv« I'oiix- iiiit1t<r my olixTviitmii. In it [ uui n-it |>FriiiUtrtl 
tn IIM) IhvMi fm-ly. Oiii> I itirt- in illiiitrLit,i>>ii rif ii rii-iuun li'ri<lcDi'y. I>ill lurur U""- 
i>ral inlclliKCDce. A icirl l"irii 'if viuormis piiiiiil*, liiil on tiin moLliir'n •■liXf IVe- 
■innilly rMiirrtiii; viilvnliir 1i<-iii~t UiFti'iwr. Tli" I'hil'l 1>n<i a fnt]ivniUi\ norlto iusiilll- 
rtiiliry no univo u> !<■ rrmic ii'ti'iiikliiiiriil in tliit iiiirxlK ••( |iiiyilii|BiiH wliii xx am in ill 
Let I" bnllcvp lliai Utn ■Imiiiii ciinlHiiiK, IIitk vhu^ u vrry criutl itinmiril iif ]>tiy«icat 
Mid ladnUt .'Mrtlvlty riHiatniitly inalulalliril :iliil nnvlii'iiknl li) t-lii' Inii'viitii. Ui-nlh 
uoMinwil BlaWiit ■l)rvar>. Tlii* nn» an inBlani!" nl'KTuitt piei-rxjty — L'H|>iM.-iiilly tultl. 
)ili> anil abrviril iu iPouKniiiiii); witii nn^n'iii); ■uriitiiily Ibi' rotblo ainl iri-iikiiuiui^ 
or vIiMn-Hwvri *lHt i-niiir in cunlni't, iiiiiDii;iiiij; tliuM- aliKUt livr with h tair. iiiid 
ii<1ii>tlim« tt> iiliii'h l»i> lii;;li iitlminilinii 'oiiM ii<>i Im ■'mivcdivl. I.nrui- Jtiil|{(i>ciil 
Hiia lipii' oxiilbitiul In ntiiiii|iiilutltiu nthnr*. loil lirr ]>iii-(iiMi-*a iirro t>|1i-ii iiiirlriir. 
ljai]C, tHi|'<irr> il woiilil li:ivr Hninii-il |Hi>»i1iii' fiir lli<- •■iiiiill ormliiri' Lu Iriiiii ImiI litn- 
lounge, inr tiif fatlirr nn» |i<-<'nii!irly fi'nii nf nilrli liiiliiti. tliv nkiU iknil vij'or •>( hcT 
|iru(aiii|ir nniilii liHvc jiiil :i T(<:(<» ('imtruy lu tLi> bliinli. Tlici iiilm rirn>uli-ry nt 
bel Ur» HKn* inily e>|iiBli>i) liy l)i<- iiiliiiilnuan nhioh wii" rxliil>it<'il in iMivnriiiu up 
liM dlormomi ■•riDTii auil iiii»-')il"i>iii>i rikUiii''" I linTo iiniiiiii-il in)*!-!! iind inilMnl 
fjathrrnl niarli lUMnKiU'Xi in 1l-li*iilii|: In )irr cjinlm <-ritii'.il K'NiurliH. ulii-ii alum 1 5 
or K fpain i>1d, iin I bo |"-rHiii>ul ■.'liuiiicliTlnlii'ii ul* tliii«i> wlimn "lii' ki)<*i> , Morcuvi^r, 
■bo iievvT nimi a Hartitiil tiiins if iinrv llie crrur wan CKiuiiiilltiil, >■<' vxc««liug bur 
)if|H|p|C<^ tivcnuiidh, i^iu'ciiall]' wli<ni nwid iiunialitnriit uii'inril. but wunlil ppniiit- 
rntly •lrlv<< a tluitil iir niiilcriilnt [»-r«i>n, im lior uwu itrauiliuiitlirr. lu th« votg» of 
ItUlrai'tion liy a itrll'iiliiiini-il ■ynlpin of |irlty nnnuyiuicu, iikillfnlly |>iin»icil. 

I TuiiM mlatd niiiny laxLinci'" 'if nil l1irM> mitl ■illi«r Tnicuriiia. but t 1 mil. Thn 

cllllil WU Ulniully inMlin, btit ft Hui-li I'aci' wll iiuit iiiti<ll>|i*iir». nkinwiiii: Kuril (»i-t 
•ml KUiliim 111 lini'n, »■■ i^i I'liirvir lh» ii»|iivtwiiin •■!' Iivt lii^int! ('n »li:ir[< iiiitiiliroia 
In raao 1 1 |>a-Hiw<i"t of llio iiirli tii-ui!. irliulTn* riwc 1 ini|{til l>0 iln-mxil i>r ikn^<>Iiu 
dranint. Ilulvi wnaan I'ltluuii-ly briglil. itiUilligeiil oliilil — ai-ldnh. •'uiiiilni'. nnlinUl- 
fill, (tunl. mill priiruiii'— n |ii-rr<wt pidntn of nti uluioil 1iu|iu1<u.h uivnUl inriiliil, 

Miiiulil Niidli i'hililmi iiH tlili Trcitive tbn tlioroiiKli syateiiintiF Ttiiiniiif; npnn thi- 
I1bi« lalit •liivB by KniobnI. iiirnliliiu a Krailnal awnkcniiie of tlieiloi-iiiaut rai'iiltiiw, 
I aui cHinndfiil STt'bt k"I" tni)tbl l>" boprd for. )t iauiy iWlix yi-t !■> hiu< tbin kinrb^r- 
f;arb-n ajitiiin l1iiiran)-blT ami |ip|xi>l<int1y lrl<*>l by fully •-••lupoliTit ti<iirlii>r* nil 
iiu|>niciii<iiiis I'aaei. Tin' limilalioii* ax Hk('ti^lie<l uul liorvlii must lunu a avnixis 
luarrivr lu ■aU>l«i-Uiry nuiilla in inunt liiatuucpn. 

Aiiutlit-r rnai' to vrhkli I may only briclly ullinli-: Odo in whom slliri> bubyliMiil a 
aMWMiliwivinalllfiirtKiuiiiinilitnvuiiiitantly M'cvniiianinI lliovbild. !■> wbum nllmnt- 
tar* ef doubl wrr* rdfurrail. If aaknl » cinuallon Ilila bitiiiK is I'lniaiiltcd by a ablo 
■iwrah aBiltbraiiRwrrtliMi |[1t-i>Ri «t pKrlia]i>i LidiIlnr«tii-«of view nrUrui ami iliapuU'* 
«iiaii«, Aj^ili. «oiiirtiii»M Ibrrliild r<iini<s tii jiftTMiU or ullior* luid nnnouticra thai 
" I liavn tiMD l(> »■■« tl., atid hu ami t (iilhvil over tliia or that," uuil arrtviil at cm- 
tall imlicJiialotii uhinb Ml vvil iiK an iin|ipr.itivR Tnt« of guidunti!. Tlirn- an nlhiM 
•vlilaRmM iif a vnry rxnlunrunl lmBi;inikli<>n, <if n jinullily b;ni«ricnl nntarc, but no 
diallaol aliiiia of InMolty airajit tbit ttrttiai'in ont of wlnrfa thn rhibl can not bo 
muMHwil. My u|>lnl<>n !■ Ibnl a* llino a<lvan(i«it and odnralionul tiinuanin arn )mr- 
*«nl thU win |i*i« awny. 
S.EX.WJ 83 




1S14 



PAN-AMERICAN SfEDICAl. CONGRESS. 




Can I. — HcMi K<iiilk<-. iiRnl M inar>i ')i"t «hil<l of lioultlirpucDU; fsinil.vbistory 
gooil fur iilivficul vi|ti>[; od tMi^ ini-lhitr'« al'lr ii ui«at deal of noiitiMiii n itli n din- 
tiiK*!))' rolis><">i* cotorlni:. romitiK of n ruin of <jiinkrr pn-iichRni; otin iiiK-lr. it mau 
nf lur);(< ui'di-Ml iiitrtll)C<''i< <\ r'lrui'iliii;; liliii<i>l( ii* itolliiitrlv imdi-rdivirn- ffiiidaDnn, 
even in tUc iiiult'T •>!' '-Hlrlim^ iriiiiis for wlikU lii^ icIiihcii t.ii c-iiiniill linw<UiblM, 
■?U'.> autiiie ti<)r|i«l.u»ll,v ii|inii tlilH hoHvi-n-iH'Qt Impiilan, fit fntlinu iiiln very fttw 
mt.'MlruiihiM. tl. Y. t'lvallli.v nft:it)nby In all mipirKtJi. At. Itt nuiuclia had ivlitMipiH|{ 
coiiuli. uuriiie nliii'li iiHtliiiin <lrvelir]<ml, itiid, while ri-ry cmtlrwi alwoyn, la vnry 
1iii)H>t' uliil iiilrtliv'"!. )»it cvpii nt (but i-nrty .igi' khiiirLiL A mnTkfd ability In aluanH 
Ii«rm-ir. nidipc (•'Hniitlii'; otiUldc l!il«i'r«[nti<-i-. At It yidn of ii|[Q bad n dialp nttuck 
of iiifniiiuuiii. vililt'b unx |ir'>)>HMv, rmiii Ihr iWrriiilion, Itrouoliltin with MUinw; 
I'viiluuily v^ttumiily ill : Tor :i tlnid luy uiii!oriiiciuiii>; Hurnn riTcbral nxeitmiBnt nim 
th«iii, HbirtliiK ii|> >iiid lit' Illy ah'I nyiiijc nut luiid for no known naano. Iiariii^ ihl* 
wJiiUr rbi-Tu wire tbrcn nliui-ka aliiillUr tii thi*. <~)u rmwrury, bofiiin In fanrn inuigU 
ti:ny |iliiwiint<'*, wbciio imiiini' >vi-ti> ■■ l)i;«i-j" unil "(icr." 'Ilxoo n-nre dloliurt pat- 
(•iiiMliil'>>', :i|>|>i>i'DiiiIv MiiU-Mk. nlili vhioii xhc liitil lnni[ iifaUiiiiutir ccinvrruiUoin*, 
;iii'nii|;<''l lliu diMiu»(tl<>ti nl' hnr day, iind thnii' ihnrM) mith bci in nil |il«iMlirMi. 
whii'li vi<iro larfccly aulitnry. OncMloiinlly ntbrr iiiiuKiiiaiy |ipaiila wriv iuttodiiord 
iala tlii« ifiUtrle, ordlfTdn-ul nanini. Tlinx- frfctnontly iimiuiiiDd thn indiviilii»l!ty of 
variiiUH pivooa nf fiiriilturo. wliirh artnd n» a unrl ot ncdntive liackeroilhd tfx thn 
ninro nellvti rhurai'lor,*, '■ Itewuv " nnd ■■ (>■■»■," An time irore uii tlirac iiiiininiHtu 
I obJrclH wiirn iclvtin Immun ii.imnn mid ti-^iiti1im1 b.i rrc'iLat conipaiiluiui. with whom 
loil^ honniof iiMifBolly cliii-iriil piny w-n- ]iii»sril. llrr fuiiiily uunDicd thi« to be 

\ m^nily tbo pluy oT it rntbi-i cxiil»-[itiil I iiin,j;i nation. bccniMB the I'liild ciiiild l>o 

I tmcHlydlvnctiKlfrimi lho»'' tonrilinurvprui'tirnl uffaim. Slio WlL1ullIl.>^1lTilel■^tir•1lv 
eIl««Iml; liiili-oil, rntbi-ruf ovprvicitu'ik' iipirit*. uiiil in mcmt niiitteix qiiilf ratiniiu. 
Til* two rnicular coiupnuioiiH >ud hi-n>rlf hnlil Iodk t'onvcrnittiunn, uml when ollior 
ehlldriiii wontd »iin» in tn play with hot, tite two imiiKiniiry unco won.' broiiKbt into 
tlui Ron rerun I i on on mui'li an pouiblr; nt IliwI, to tbu exl<>nt to which Ihu othnr 

Jdllhlren wuri'PiipBbloof KonipMiindinR. Child pluyuiiitti wotp c«m;>iiriilivL'ly nito 
In tbo iiolitlt'd home, and tbi-rnfiirn tliin imBgiiimy rnnpic wcrr ti^itiinlrd niilicr nii n 
Tiuon than othprwiiMi by tho pDtV'ntii. Tim cnriom fart wiui obsrrvi'd by niiHiiliuTa 
itnd vi>ilciri that llrlen woiihTitliiiunt ncvortuko buld uf any ubjort, cvon tbowi whivb 
•ho hnd <-ndiiwod with nanu-s nnd indi'idiinlitiea. and with whom «h(i conVl^r1l«d 

[aioat fii-ely. At 4 yrars oi' nRc iihi- wonl to ii kimic-(gnrti.-ii. Lind wbilo thnro it wnn 
ftlmcMt linpouible to mnku ln't I'Uti-r Into tho rctialur inethuda of tli<- orhoot, but on 
eaniinEliorai.-,iihn would ro thron^-h (b<> ontiio pctformimiMi with tlio iitniont accn- 
racy, ohnwinK th<-rc won no Inek of comptPhonHlou. AUn, tbo ohild fulled to rpooif- 

^ niiu orden> of (bo tcavbur for n Iodk time, niinply igaoiing tbcm, but Rnidimlly i;ot 

' io the habit of HUbui'iHiiim. At T.v«ariiof ox^'hi' went ton ivi;ntni' day nubool nnd 
gra(IunllyK(itn<ljnn[pdIurcKilInrdiii<;iplini-. Sbl^ finally bccnine iIlt^lrp^t(-d in bcIiooI 
work nnd ili>linfill,v ovorHriiimbl bctMdf, oiiunionnlly fnllinR into bysti^ticnl condi- 
tions. About this time, also |Lii>tWrtcn T mid K yean) hIiu had un ultnok of inHucnin, 

I wtiieb iLTurtvtl tbri-eorfuiir timw, aaoumputiivd bv n^ood dc'nlof |»iycliiviildii>tntb- 
Biic«v(ind aflur thin fell buck iuto* condition of jibyxicnl npnlhv. Tliervi ii» loiifivi 
UplxMrol th<' nclivu cxciltiDi-nt. tbu vohiblo ounvmiilioUH. iind 'iiicb like, but the 
dmimuddri'LiinH Imth Bio-pin u nnd Wiikinu. tbc ivmiltiiiif nbicb wnin rolatwU not vny 
fhinkly. Id liL-r ninthor. l''iit iKnnntinie khei-xbibitiHl |{iv^t ivlownRi!i in evi-rytblU);, 
|dit»i(i>l iind tm-ntiil, (buii^li nil t bis while a piiH)c4nlud«i;ri-o of Intel lis'-nco wonmain- 
tjiintit in pructivtil itiiiirpfs. i<hc KindimtIv grow more talkutivcraud nrjinmeQUtlve, 
disuiinfint: n>uot ctbniiBiivi-ly the ptuo atiaotna »f (li««4iiallHt matti^r. OrodnoJly 
rcli;-i'>itii idc.-ii heruiiic pniniiupnl; xho btMNiina alMpleaa, la«l uppctiti-, otc. Then a 
pyrlud of tbroo wei-ks itil>M^'i-iied nf vi'ry Kroot ■•xi'iti-m<-''nt^ ronpli-d with terrur. 

' Tbu hi'UtiC will pi-'>|il(-d with wild aniiunln. uf dvliiiil-i kind nnd of u^^uriMwive lioreo* 
ami, which kepi Ikt 111 ii xliilv i-f pvrpeliiiil r'nintcruiiliun. ^^lll' frankly 'Ulmitlcil 
bi bpi luutliPT abiiut this iieriuil (hut ahe kni^w die wn.-i rrniy. ileclnred hi-roulf to bo 
th« victim of iiiiai:iiiiLtiuu.<ir worm', and would rnduw the pieluiea of livinff objert* 
IHI the wall With niulii-nuiJt tuiiil-<U('ir«, iind \>t-g her uiolber to Inrn tliein fm; ituwn. 
At Ht .lenm uf U);e ibr MiDVmil un iiltaik, nitlier pr-duu^-eil, of fevrr with lunniu- 
|{enl •yniplvniH — pain in the b»<-k of Ibe tieck. din* 11 put ion, and Minlly. tmn1dii>alii(i 

I titarrhca. At one time a lolliiptoi'crurml for twooty-fonr lionm, when thn wni 
tliuaj>hlia be iilaiuiit deml. Inning; ■.'unvalcvceiice tbertr occntr<'d n petKid of iuli^iuo 
ptrii«i>ninl fi>r ten iliiyii, with uclivr iiuaKlninga, and tbeo middeiily iul<>rvctin1 the 
foTiner stale u( H|>iiiliv, A pvrioil uf cumpleto nontal denfnou otciirrod foT about 
(Ivu luutitho. 

This gill raitxi un ler luy olnervalion in June. \Y&Z. Thrro Inul iben oecarred an 
lllark of rhun^a. nhioh in nil unlinnry letipeiitH Neemed due (bore*. The child 

I •(vfiiPil ntbi-r Ktupid. Iillf>il nilbaiiddi-ii fpiir* nnd cxttuin deliiiileia'i?iikl>mMH> whlcll 

iifi'irnted her froai wnlklti;: tlmicbt. nnd nlnu bnlluriiialiun* of fiinelfnl satnn'. I 
iHin<l a^oud ilnaluf irritAtiuu nboBl Ibu lUHtal piMMfieB whi«h it McutMl nvonwMy 



I 



TAN-AM I^IKICAN MKIUCAL. CONUltBtHS. 



1315 



i 



looiir*^ BBil, Dili III |>iii!nii(; iliK ui-i:i>iiiil uvi<niiii«-li, u< tiiii Of tlircn WCI'kn IllU WM 
M«>im|ili*lml Very iirarli. TIiuik wrr<> im itilpiiolil k>'""''I"* "f tl^" ii)iur,rui. I 
illmctval Ihni i>lii> nhnnM k|w>i«I iIii- miniimr ut llin aivMliorw. wlicre kIii' iiiipiuvnl 
KI«Btl,v, til"* iwllitiialii' iKtAi'kn illi<»|i|»^(ii'iiiKi HO't ill" aliKl't iiitMi-I'hni'v iix«b1 > Jttorrii 
•IllMMlkiijE nlimwl piilii'i'ly. 'I'lii> iiiniliil cuiitl<l.lui>liii|iriivcil \fty miiiili. 

In Itn* ■iiliiiuii, bur ph>i>jriil i>{iiiilU>i>ii lining ■tiMrriiKiUHl)' li<-ttiM'. iiiKl li«ir KoiidntI 
liitr|llKi-tirt>, loo, uivlnj; ur^-nt ItojK' ol tli'irtnij^h n-pnlr. ^h>^^^ Ihnit iiiUinvDi-d n 
{Hirldil i>r BXUluiriliiiiii,^ rT-li|;iiiiiRriifi1u[lo>iof a vi-ry )iii'liir<^*>|iii' l4i]i-L iiiiil Jiul Mirli 
IM I iiiui|c{Dt> w<inhl I'liiiviiivo |i<-<i)ili' 1)1' Klniiiic ii-1Iui'>iih >>>iivii-liiiij> ilmt. tliik rliild 
bii<l iHX'd br*aUi««1 u)'i>ii dliDi'tly li.v tlin tipirlt nf lioil. ^llI< liml Ikuii itiidor tli« 
tBiiBnIlnIn liilliipiK'' i>r RD ovi)mliK'"ii* M>rviiiil, wlxi lioil pln>i-tl niiou tin: imjinii- 
Klulia)i)0 UBIiitt> at llii> liltin gM, hull l>i>ii!lil bi-r .til iiiiiuunt of rrltKi-'U" |iliinAM, 
ali<1 iliiliiT Jiial aa iiirirh tiiiBrliirfiiii aticioiitil jiomibly roiitritir. Tlii-mijiuii. Ii<t)>ii|i1I 
|iTiivliiui<xl»'iii<-t,v niil. lliiTd tr:iiii>|iiivO a I'lrcn unrlrn [if liili'mitliij.; Ttilltfloii* j'liivvit: 
iltiK hLiIk klif uiiiiiil i-li>i|iii iilly i'ii|iiiiiiiil licr vlnw of puoiactvi uf ^<'ii)>liiii-. Iior 
vlitiia ii|Hiri tU" • <>tii|ill»ti mill n|>|>iMi'iii>i-riirfai>ilvi-ii, irliat pi<ii|il<iiilii>titil il>i In i^tiAliki 
■llTiii l<i*oi-tiri> TtUiiilrtii'c lu 1lii< iitmilro iil' lillu, pic, '1 lioru wnro voiicluiiiftHl to licr 

SlimiHWH i>r lii-nvpii, wlilcli >>li« ilfai'i iliixl iiioxl KTujiliii-alt.v luiil I'hiirmliLgly. Tluiie 
oaii>' lilfVi 111 ti<-r llio i<vrriii]»-liTiii)i ilnuni tu iliu iiiiil he. n blf-uu'il utiitrl. An lu 
wbnl vfai' ktiitriM iIii mill wlxii' >.Uo hhoiiM livi', liuw loiiiliint In-lHi-lf, e-.U;. an ilrtulp* 
nf ttin Mlilittn Ap-a l>Tiiu^)it. ii]! Ill :i nuMiirry i,-i>iilil linvi; mum viviitl}' nurtniyril; 
IoiIpi'iI. hIh' nxliiliiti'il II |r|,t*|iuf kiHiK Ifil;;!:''!' IhiMlnttilU oI'DiitliinTy rvltul'iii* loocll- 
jaj; wliioli nun nut uf nil ]>r'i]»i((i<iii in wlii^il Iirr pii-iloii* iraiuliit: woiiltl hitvn wiir- 
raaiHl. iiiviujf any niiiiiil i>lMi*rvpr ll.n liii|>ri-Miiin tliut itim-Ii af iIiIh w.t* ni-tii»l niv- 
olallvn. llrr nmlbrr Mt\* tllnl lliU uti* a (••»liii>' rrtujii cully [•■[iiMli-it In vikniiilit 
Wnanliara of bi>r ohii fuiully. itlio woiiM fnll iiiln rrxiatii! nlalois ihiiini: wlilcl) 
antauBillnil rntrl-tt'oii* mirn iiuilo to l)ii>tn. Wlint iiiiiclit 1i<ii~i> lniiii>|iii<<il liail not 
IbM* itood iHHitilii Ill-no liijiinil iliiwn by tlir ouuveulltiualillru of llin tiuclcl}' of 
Kli'llila It In ltll|HiuilU|p la PKlllil.ltv. 

Ill drlolinc, [Krj. Itclrii liiiil un attiM-k of ly|>IioM foror, Di>t orot tmrtn. UutlD^ 
llilo lintn llit> ■li'liiiiiiii wn* ••( n Itilkntivn i liarurtPT. :iiul »\i<t rriiillly fvll iiiM coDmr- 
■alliili n-llli nhmniiH'iur (Uiiir TiPitr. ri-tiillh)t tivi' ilrmiiiiH, iiiti'iiiiiiiKlxil uilii ttto oun- 
"wC UHtMWH) piiiii III 111" liurk III' IliK lii<ail »■ in tin li>Ti>iiTr illiinw, 
""'"Th »itli llip ■liiti"tivi> l'iuiPlli>ii«. Afli-f tint 1 (HivulcuriMico 
Iblird. ulir n'ti* l>ruii;[lit t'J iii<- in III-' ''I') uiiil iilmiul In lIlO 
hollalil of lw« pinfrMiilmia) tinTiii'H uf li>i|;(o liili-lliUFiiri'. nml tier I'oiiililliiii iiii>ri> 
cliDwIy wuli'lii.il. rlin iiiiiirotpinoiit In nil pnrlnMiliiiii wan plwiily nii<l niliulriilil*!. 
•''^- iiiiA)|lti>tii'i> li-i«ti'i)rli« aliowp'l ili<-iiiHi:lvm ■iiM'iii>iiiii»ltv. ntxl wiTit i|iiLt>lly 
_ ti-il biiiy III lifhDr-'il, Ttii> iliNtim Ia ili liljanu niiil nllty tliiiijc* uiin llknoUo ilU' 
'^Wfii*;"!, oiHiiHiuniil triKtnu' ii-h to Bull Ituti-i-lf niiU llm liml wfTi- ]iii>iii]itly til|i|iM| m 
lllo liiM, mil |4>I> roiiicbly, iiu<l » t;rii<-rtil im-nMiiv nf hVHK^tiintli' •iliirntlol; In llio 
ttvCDtic ipn iiKtllutTal, V tiirli vi>r) Mioii biiil nil rLV<.-i-llrtilrll«i'I. Kniiii lii'liif; rnrnrdlly 
ilirvcloil by kmi), ei'iitji', t.ictfiil )iiT>uiiiilitii-ii, thu Inniclnnliiin irnn clliijinil, iciliivpil 
Ui nurriia) |ite|><irliiii>i. nml a Inrffo >nitiiinl of inliliial I'liniiiioii u<nii(< nilownl tu 
rouw to I4t« •drfkri! I'liiloiibtniri 11111111 Imrm liml liiii-ii Miitii- unwittingly liy Iho 
BlirllKir III ntii'uiocliniaty I'liioiirjuiiiif Hi>ini> !•( llii-*i> imcti'- llli^blM, >ii<r vnriih-li-is 
*|iprali*niii«n* irpio nul juilli'loniily i-\tiluitiril auny 1 iibi-ilipiKK nna nut iliimiiiiili'il 
lo iiinvli' mI nialli>r> iil liniiii', ovi-iluiliilitnnrn |i|ii)iaL>1y utvi'ii lo vajfarlnl of lliiiilj^llt 
and ift, anil, lu atini I, iinri'iilnl i1ifU'l)iliiii', rkvit Ibi; bp*t In i^niw* aii'li a» tliio, wan 

Goliulily railivi nnr*-- ilinn nxtinl Ironi .1 iiiultiri wlio nnit ovrnMillrtloiu. Jitlj 11^ 
Kl. n>y Inn'. ii'|ii>[l lioni tliia inxn la nioul favonible. 

('ill* //,' lv«"lp A., »i;ihI Ii yrnm, i^nmti iinilrr my ran- Kfbni'iry 1 1. HWi?. Fniiiily 
Liil'>M i;'-hI : thliil i^bilil ; <i>ii' d<-i><l of (li<>lc<i.i liir.tnlnin. It. H'n« |>i-j fr--l.lv ui-II Hi 
nvirry n-ii|-i-rt uiilil ut !• jvhi* of Jjii- liml xi-nTlnlliia \ nry irivrirly ; nioulli. niMn, nnd 
«)r* M-rioiinly nlfi-rlril; Tunilldd ponatantty for n li>n;c tinio; vuk III tno numlli*; tbo 
focnlllns vuullniml until qiilli- rf<f nlly, nl Inli^rvnln; towiinl tbi> riiil of t)ii> iIIiioih 
Uia rliilil Ma* |iiir.ily/i-d. Inviiltiuif Ilip li>fl 1.111^, TbU i-niiio kIoh Iv on iiiilll nocii- 

IiUlii bi'I|i!<fl*ii<-w ri-9.iitt<-ili r.yiui "iTK riounl nn<l i'n|iiii'Ui lo mvnlliin nlni(i«l Iiml. 
I, t - ' <>' .•'I'tn iiKin- Ix-uaii i:rn<lii«lly I« 11 alk. Tlin giovirr via* not r>|i''''ljlly Ipm- 
mir . I aiiliv t'lvi^ miinlliK Hflfir tlip lltst atlaf-k 11 louiriiUlKii -i-i'iiriiul nf u 

lull I • r. Tlip body iihihIdiI utrjidily to riubt, ll)i> nycn klnrln;; nn<l tlkiNt; tliv 

wbi'lf |-iiii>-n rl|;iit for nciiily two iiouni; llioryi'a ii'mnlni'rl lUd>lly open until tlin 
liUlnwrii): hlulit; roiild not appak. A fpW tiuniii nflrr llm l-i-ulnniuu nf iIiIb ■llnrk 
Fb wiu> a • Imilr nmi ultion In v>)ili'Ii the licnd iiiiivihI bolh wu>k: pnpiln nt tbo 
wrro wl<b'l> ilitnti-d. Tlie brnllb xlou Ir iiii-ii'l-il, until 11 Wit Iliir" nionlbi *na 
i|>.i. I.. Ii .>•• jlliK ha lit flKiiiy. ■'■Fin|it>ilnin)C ut a l--nl, lu iWuu *iiinii niiililni noUn, 
K>ii 'ipuiilnl by Ibn bHlluoliiallun of «rpjii|; a rut. TIip*" inrniaxi'd In frP' 

qu- 1 1 .1 ; it ilo/rn a itiiy iM'--iiiinl ; at nltiiT (Inin nliiKxt 1101141. Noir tbp niliiil 

Mvnii il.itiii' II > liii|>kiivil {n(«r|.>iii wnyn; liii-> In rnn it way ftoni bonii'i on twoin-i-n- 
«|uUb It ai lixl , lliaboily In miiMiribly lll-nuiiii*lipd ; lb« <norin-t«tpnl(m|^ii<'of inurnuv 




131C 



PAN-AMERICAN MEmOAI, CONCKESS. 



■diitoiiiK', ourii>U1('riil>l<' iiaBii) irriluliiii. llir> i^^lit 1i>l<riijiloil. Miulit [ili>*ifi; liimrt Mmwti 
riuiilDcil unit ilUUiiil. :ii>il nhichlly inrtt'ilnc iiiiUa. Sliv !■ vpi,v ntiiliablc; trim M 
n>ni|i mill )iliivnii1i rhil trpc, litit iKir'iU !■> Iini'iiiilrotli'il. I axkinl my I'rleiKl. Itr. 
Kaiidiitl, Io< \titiiliii- till' K) lu. mill lir rniKirli'il ti* fnlloir*: I.t-ll r.vralioux cor»lilfTiil))« 
If. A*.. Iiiit no KIKU Ip>>iiiiii> 111 til" liiiiilUK. Till' iilt\\l rye lint roniunl nti-uITIX. 
KIkIiI rnr (■liov'ii wt rnrinl iiioiiiliriitii-; tlii< Irfl nlliioiit i-<>iii|il<'t'< ■li>*ti'ii<'(.liiii of tiiriii- 
liTiinn nml ii tiiio" -t liit-'.lilril I'ju-iul |>nii-Klh. 

Tlim I'liilil tvii* Ikfjit iiikIi'v iiiitrivutl"!! umt ti'rnliMOiii l<>i iivi^r n >'uiii, Htmillly 

itii)-I'i villi; ■>! Ki-I"'''! Id iin v<i1U cvvil-iibilll)' iinil |ili}klrnl lioiillh, lliv k'TRUIIIIIIH 

ajiDtl" tiii'mlity I'**'"'"'''!- Tlio rollouiDK >l»i>nnry ciii».li1iTii1iIn ucciuhiiiii of lioiilih 

aru*« Uai\i \'fiuK U'wii'ly wlii|ii>v<). At llmrr l.liiin tlio 1ir:>i'1 iiKtimi niin \rry irT(>|[- 

Lolur, mill etii' iii'i>ilitil i-niioinnr. ■y>|r>iiiiiili- itiuiliii''iit i>r ii l»lli>^ < linravlrr, ui ui-ll ivt 

Rraii(|iiiliilii|( iiinioiiir*. A ;rinr iil'irr I>i<1m)' IIi'>I »>*i-ii )i:i<I ii III, tuiil mii-iii iiiu<r 

■>*nii|>pd from III" biiiiHi' iinil •li>-iii>)>ruii'il lor n iliiy i>r luu. In ii M-iirniiil » Imlt'* 

vi>iy Bi-vi'io ■iiiivnUlvU oci^tirrnl i-oiilliifil t<i llii> lijflit >liti>. c-liiHly (ii th<i lltifivfii iitiil 

fyi-H mill iiii'iitli. Ni> i-viiti^ui-'it of pnUy i'ulloui-ii. Tlic kiifojrrk w.io rouiiil (u Iw 

noimiil I'll Ix'ili *)i1m. 

Mny 'J'^, Wt}, it wtw fouiid iirovauiirjr to itlui'r li»r tn Uii' Itiimo fur IVnlilooiiiiiitvil 
Cliililmi. 1» iiiiir)i mori' intiniuil iii niaiij' uiiyn. liiit n\|ilnDivclv fiiiotiuiial, iiikI hI 
•iirli liiiK'i iiiii'xiilriillnliti- lir Ikt iiioIIk'I. mill n vriy ur-til iiiiUmii« to !)■» fiiiiill)' 
nii'l ni<iulil>"rh. I'liili-r (Im iiiliiiiiiil>lr I'liir irlili'li hIiii m-^ivi'il lit Klwyii, iiion'ly 
l(ii{>riii rmKiil luiik pIni-R, until M-iliiy |Uiiy Id, IWKI) olip )>ifMiiit« I Jin nritM-iirnii'n of 
ail niliiilfiilil.v wi'lJ-uniwii, p|<1i-iiilli1ly ilnv'l<i|iii''<l 0t\ i>1 !<. I liiirn ■■■lilmii mh'd ■ 
nu*n |ii<iTiii'l )iliy>ili|ii<^. Till' i>lim>« nf llin limli* nnrl iiiiiility iiC (hf> iiiiimIi^ iim 
UlTnoKliunry. TliPii' ri|ipptiri tn li<' iio iKJiilJd it ilh nnv n( l1ii> urcmiK. I'ki'riil ■(Hi 
in llii> rijjlit fyc. Tln> intvlU'i'tuiilitv luia noli iinpnmni In miy \<-iy nvi'iil i-\lnol; 
tnki-H iiiiiiii> Inti'Ti'tl III ■•'iviiic unit liiiixl wink. Hii> li lu tliiil^ruiii'Irii Atiiillni; r«a 
«llii; roiTi'i'tly ; Iihh b vilo totiipvr if iiioiiiii-ii, wlmli ori-iirn d riirrly iif lnl«, iiii<l la 
t)l«li Mitil III llvl>t llkn D iiiuiiiiK : III tilmn i* iiilliiT (ImtriiHJi'i-. Iml mi 1.bi> wliulo la 
» vi-ry O'lol K'''' "'"'''"'"' '" t(tar1i<-n>. mill tjilkn ailpi'lKniiitvly i<f ilirjii, 8bi', I'lif- 
liiuxly •■i><>iij:)i, l"i* II viTV t.iii(Uy ipuiiiil I'lir iiivM-ir. iicoliuMy l-d'aii-K 1 wm itii' imly 
inio. iiiilLI hill- xi'iil In till' lii>ii»:>. hIiii <Ui[iiiiititril tii-r aliuiiily, mul I'vi-n iiiiw i^im- 
•Itltilly tiilkii iil'Oiil iiii\ mill |>r»iiii'>i-n kcr < ••in pun i nun Hint I <li^ill l-n brunclit to km 
tliriii. 'I'o'iliiy til" I'll I y iii'iii linn lira III licr iirrvuii* alnli' ni*< ullubtly okrhmIvo kiioo 
Jvrhn til liiilli li-itH mill II ulliilit rlouuH in <-i»'li (il IWu ur llinv Im-iiIh. 

''nxn III. — .\. It. I'Viiitiln, iiup'I 10 « i-Hri. K<i iniimiiiy in llm lamily. I'liri'iila llviiis, 
i>ni< lif'itlirr. I'i'otlou* lii-nltli iif |>iillciit K'luil, 1>iit jilHiiy* iii-riiiua iiinl with vrr«k 
(lij:r»t i»ii. Iiiio wrir ii)[« niiil Bituin xK iiiiidiIi> liilirr Imil ji loiii iilolnii fi>l)i<w inn hd 
ilKlixrrrlioli ill ilirl. 'i'li<-9>i> I'liiiviiUiiiiia |'iu>ril iill' nillinuf. kiitiiii; uiiy ii|i|>nmil 

fDniimii'lit injury. Ahuot tlirm hkhiIIi* n^o nln- Ini'l n *.-iicii ul' ri'iiviilKliniH Iim>Uii)[ 
rp lioiim, mid iici^iiiiit'iiiilrtl l>y Tut it fi>II»wril [iy a lrsiicvliki< nintx IbhIiiii: I'lir l<*e 
(tnyo. Siiiii' Ilii^ii xIiK liaa roiiliniii'il in Ikt inviiniic ■i.ttc. Kxixi'"*)"!! vacmil, intlif- 
tVrriil. ilciiiiniili'il , Nil fiiiCii of alTrrliiiLi. llitMiK. Illihy ami >ili.iii>i'li*>i.t. Irrilalilp, 
lint IC'im' wi-p|<*. Itnrrly •jiiicl. I. in in )i<*il, iiilliiijc I'l (IiiiikiiIIv ti'iiii xiilo ti> Kidv. 
TIlio llim Kltidll 1* D|>]>mpiil1> iiii(»iiiJillr, At <i(lii-r limr- bIik will |>ti<-i' llii> lt<>i>r likn 
«<'»Cril l>ni<-l, MnkM iiiiiilii-iii]-t li> oiii-nk, l>iil Itiiina « iii»iiiitoiii>«i< tiili<>, l><iiHi not 
lik« I" ■>■' toll II Wi I. Itr:iriii); iH ui-hI. Ai'if-lilr Ih fnlr. t'lita iiii) Dliir-rl |;ivrll Iv-W 
In llio iii'intli. Tlinro nrn iii> |iitl*lra. Tli" ir(lr\ra tiro »i>iin:il, A^(llll■1ill■l aail 
tlioim-ir arcmiii iiimiinl. t'Tiim tiiiTRiiil. Pa|itl«at Iinimliliil<-il nml V<>«rt ■■> UsblAlul 
rcuiiiiiiiiitmioti, 'riii-i<< in iiiiirkril |>allorBiii1 i<iiihi-iiiIiiiii, Afiri ii ymr )ii>r jiiiyMloAl 
nililimi tiiiil iiiiii:li imjiiovni. Mrnliilly iilii* i> in i (-uinllliiMi vf ilnnn-ulla. 



ARTIKICIAI. AUMKNTATinU iiF imil.DKKS IN UEXiro. 



^ BylV.J. U. ICAZA. 

niurn.KMK!>: TIiib in n subjcvl llint wiu pnipuacil to me 1i>' Iba liamiralil«> l>r. 
Kiriiliiii;. vrortliy pmiilonlof IMb Section nl' (lie 1 MiicuacH of t'liildriru, mi<1 uf wlileli, 
ouuuliHK u)ioii yaiir Koud ntll. I urn RoiiiK to biii'lly t«ual. Aooorilinx to lilio, it i« 
»<•( my pHct ta ti(i>y layu'lf milli llw tlilfervnt limn<'lini ibat iiiay l>n allivtl ia a 
llou-iriil wny to Ilin alimniitailiiii of i:hil<lr<-n, iior i* It pvon my iloly ti> mftlio ak 
nuulyiic Htiiily i>r tlin •li(I''i<-ol ni'lbodii, narn at )*n« wiirtliy of r«>nimiii«i>iliilii>n, 
ihini HT(> pi«t>l<iyp<l (••ral>i(i llirtn, wlim, by mmio cimiiiMtsncc. tlwy are deprived of 
Ibvir iialiital f<">U. My iuiwi>i»ii in iuilni.'i-il, I tii-li«<r«, lu lullin;; w ImI In dono in tay 
.Ounuliy ill nuvli i^diiub, N«ve(tliel«a>>, ultbuugb tl lua}' Im a f«w wonla. 1 will aiiy 




PaS-AMKRICAX MELiICAL COMnBtlSfl. 



1317 



I 
I 



I 

I 

I 



iti>ui«llili)K nf tho (yinrw piininpil bj llin Moxi<'«n pliyHti'iuus iu rlireutiilg Ibe atimeii* 
lulliMioroliiIilrrii tit tbn llret upocli at Ihiiir Itvi-n; tint i», fraui birth nntll Ibo ItfRt 
■Irlililloli Mori't. 

Ill MfrTiru. gunllMiiifn, it in Ibu Kmeiiil ia\t> Ihnl th<> molhi^n num.' tli«ir fhililrcn, 
•ml it in tbe trnib tlint »■■ |il),VAidnuit iiovcr huvo Iu trll Mcxiciin vroiiiru of tli« 
olilliratiQii Ibnj bnve of ■iirklinK tbnir od'niiriii);. Thcru tl]i->- htl> dcUii^nlud com* 
|iku>l)'. and )tRrtiii|M to ait OKascer'i'>l>'>l ilcKnuT, In tlif damoitic itotif*, mid lli« privn- 
dim* and aniMiynDr«ci of raUlni; chlldmi tii ftill nicr Eniitt«r littln tn tli<uii aud |iror« ] 
■ pUaMDK lank. But when ibo children niu loft orpUnnH, or vbrii tliu iiiiitliurs ara ' 
nllal■l(^ In iioiiriKli llit'iti liorJiuM of Invk uf bniillh. I>(>i'iiiihu they bttve not niiltloli-ut 
luilk or bpi'iiiiHi.- tliti iiijlk in bnd. tlicii vv n.-i-uiiiiiiviid a wut 'nurse. Iiikiiig )iTi><'aii- 
llona, )'i>n uiHlctKtamI, Iwforo KniiUiit; tho child lo brr carr>, to oxumiu* liet tlmr- 
oucbti In ■«' if iih(> ■>: hciillby and if her milk la abiiniUiil mid of Rond iiuiilil}-. It 
I* wnrlh^ of ii-raiilk thnt llin wkI iiiirun* nlwnva livi- in thi- hi>ii«o and iiti> iliidor llui 
direct vtKilftiicp i.r ilui fBiiiily. liiil ii" th«i pitveriy of llio I'luiiity or oihor caiiia iirw- 
vrtiliil llii- I'lniilovnu'rit of n not iiiii'**, tbHH i« no alhrr iriiinly thai) lo rmort (o 
■rlilicinl fwHl; 1<iil w(> ix-vvr udvini? tbU coiipmi.so Iruiililcwiiiip iim) full of dilBcal- 
■ill Alul olHttoclcH. U> bu rulhiwcd, t^KCc^]•l wlicii U'l^ nne oiiivlviw furcvd to du ■» liy 
(■vrpjiliiiniil rirr tiiiintaiicc*. I i-ipnn* ntfinlf -"i, licciuue ihi> diriHit liictiilioii l>f i 
fniiain* of iimniiiU ■> vi^ry rnirly d»no. Ili>wcvi-r, in sumn r.ant^ ifoaM urn iiaiul, 
■•tKamn, •• I* viitll known, tli«y iiiw hi>ltCT iidii|itr>d t<> tbr |iilr|iii*r, oa much Dlliu:itiiiiiit 
uflbBfartiiof llM<iriiiaiiiRiii-ikD<l tli<'nl>iii)i}Hiii,-i>aiid i|iMlil,vorth«lriiiilh,iiatliutlh«>7 
Msily bMHioin n:r4<iiiiluiiii.-d lo Inko chit nf rhl^ chUdi>m. 

Vi'm uiiw nirico nl Ibe llrst iiniwitiou: Wbiit du wp do in my piiniilry li> Brtiflflalljr 
naiirlob^'hlliltnut lioiu-mll.v milk of Uir row, Ront. »r omi id uiirn IIifiii. Thnt of 
Uip ciiw i« Ibc iiwiKt iianl l-i>riiiiiu.- it ii chfj[urr iiml iiuirn iiklly nbliiiiiKd, It is 
trarcvly pvor Ki>e» >■■ it'ciudi' ■lutiT, It ih cnHloiniiry t/> iita It aklniini'd miil Imilml 
ntUml wtlli ail itifiiHinii of yi<rt>a Uimnn, '>i;iii]{(> lcav»>. Ii'ii, or Hnnin oIIi't iin>ii)a[ii^ 
pUnt, or Iwiilril watvf iit uiiIit Tint Iu (■hitiis<' thi< la>t« and not tii dtniini'h Ibu 
iirlffiiijl iiitliiiiu<nl. Tliii niixlnrv ih mndu iii varioii" |iru|>iiTtioiin ; fiiv cbildivti 
uiidfir itu Dioiiili*. t«o (ijirtB of »iil4ir ni of tliP iiifiiiioii an- niivcd »itli oiio imM r>f 
nillk; frum ll>i< iiixlh to ihe iiintlt iimutli. i"tiiiil |>»tlA of milk iiiid nnl'i ; I'raiii rbii 
liliilti III tliB luclflli iwiiilh. I wo r>iitln of milk mid uiii- of viuti^i ; oft-'r oiix ywir, 
IJim--fi>iiftli<i tiiilk iiiid oLic-fi'iiiili of wiili-r. mid uflor liflcmi moiith>i jiiiti' milk in 
)[l>vu. 111 admlaiilcritis <* tliv iMittli- i>* ofti-ii tini-il, Wk liiiVf inuny tiiodels on thu 
WHik*!. tiiit lbi> ntiHit no'f |>l<'d loi lla •inipliiiily mnl for ihr chap hi chiininit il, « 
niiMt cMTBlial runditioii iu onli'r that tlir milk may mil iMraltrtcd in its conittilu- 
tHin, roMiilitlH »( ail nnliunr) liutlto (if .100 criiiii*, iipprnidiLatoly, tlin tiioiiUi uf 
wlilcli ia made of giilln piirrlia. Iti thr ilnit hIx moiiibii a b:ilf bnttlu i* givvu «vetj 
IbriM ItiHir* »ihI afirr Ibiil ngw a full liotll" In Ihit naiiip iiili-rvah. At tiiiim it haji* I 
jiruii thill cbildn>ii irfiiiH< oiw'n milk or ilij^t it limllv 'mil Jl ii then Ki^*'" ■'■*^'" 
mlipd ••( iHiih'd with lliiiir. fom, wbuiil, or rice uihI ii ■■ ofTi'ii i;rrally iiiiiinivcd by 
ibn iiLnliflr 

Aw'* Billk atid i^Hir'a lullk aro olan cmplnyixl. aBpnclnlly liie llnit, Bbnan «oni|Hwl- 
iHiu, >■ tn wi>ll knoitii, (mi'itildi-* that, of hnnuin nillh. It tn ■iiorr' dlfllxiilt lo olilnlii 
anil nnln itiiiic, >'ai»lllt- tlial aii> nlilc to riljoy foiiic cnnvriilrui'ini liave Ihn ;uvi in 
llin I r MM II y,ii>lii ail a« to l><> abl«> !•■ iriln milk lor thi> cbild uheii nw-dtal, ohich i« 
IWti lakvn naiiii mid wlllinnl any ailnll'TUitoii. I coiild rji« many rasw in wkicl^ 
a»i'a milk haa t;iv«n ponilivr aid in niininx childtpu A chi'mlcal aiialjMn alivwa 
Uiat It I* iniiti' ratlly <li|:vat>-d than that of nny otlini anlliiiil- 

H»iui> fauiill«ii> k'*" iWlr (ihlldli'ti arllflciiil f>T«>|iariklioiia, ancb aa Neatld'a l.ni;tat«»l 
Fuuil, whiHi M niMlHHMHl pHBcl|>Mlly nf IomIoiI birnd diitl, wlinat iIdiiTi and mitk 
4rln) liia«aaiiHiii; lluftticr'* rond, t.lrbix'n Kx tract, orothct hiiiitlar inixtnrvx. Tli* 
poor otUfit luui atob, n drink Ibal c»iiiiiAt>> of a paHin uiail* of grmind com whirli ta 
diliilnl Bllh wiilrr ami wiith and aflvinurds bulled. ThiH in a fowl Itwi wbal«iMUi«l 
Hiul iiuttluva ilwui >illk bat vKtily digwtMl. j 



1318 



PAK-AMKKIOAN MEDICAL CONOKESS. 



I'bn initb Ib, It !■ iie«Mrary to vnry thn RhmI fnr It hnjipmii tbnt rlilldron, llkti 
ttHiitl*, hnv^ iliSfiwiit ftidlf UatUlttoM and vbnt U iicc«pt«1ilo to iionii> jirovM iiin. 

BBOHX 1*1 titllri*, 

I Iiuvd ntrcuily Ini1li-iili->l tlint in Mvtii-i' it ii vhi-v rarr tliit(< n rliiUI Jsf;iv«ii milk 
i>r any of llic [•n<|>»ratiuiin I liiin' inuuti'trii^rl. 't'hntu prf<|>uriittoii>i uiv nmA lunrs 
i'>Iic>niilly r»t uiollii'rs unil wtil iiiirnFn, wlii^ii lliu milk 1ipi>niiit<* iiutrci!, uml tin 
U1■>thl^l'1(■■ cliiliit*ii— in a niKil, for vnrii'tj-'a nuke. Ilnwi-vpr. lunoni; lint |M>ori-r 
cInHrs. tho rbildren iiro ulXr.n licnied rlii- lircniit nml arc Riven nil kiniU at (and. If 
nnlllrlnl fi-edinK. condiicU-il iritli gtaat vnn; Ik iilwiiyn [lurilnuik. it !■ ninrh more ra 
if mil iliiiip ill nil iDU<lll|p>nt nmniviTr. An jirmf of tbih nuu-rt.lon 1 will nny Uiac we 
sou uvury iliiy niiitiiijc tiiior rniriilim inof <»■ leu iiriivi' ■Ilnlurlinnrf* •>' tlic ■liKcxliTo 
oTKniiH in rhil<li<Mi |<ri'iri:iliirFJy w<-:inr«l uliirli Bri> •jiiii-kly rnrixl \ij a nl.iirn l<i llie 
lin-ail; nml wi> ni>i' iiImi tliat llii' t'hjliln-n nP jinornarttw, baiUy ni>niiiJi>d bbiI im- 
)ir(i|ii-tly fed, ntiurly iilwiLyiprriali. 



THK nKSKRAI. I'KIXCIPLKS UNDEKLYISR ALL METHODS OF IKFANT 

FEEDIKO. 

By T. M. liOTiril, U. II, 
Pnfrt'r of l>itr«tn •<( fttOArt', llonara Vidwtniitii. 

Juat n* till binlioit Him of mi-iIii'iiJ art ■IkiuIiI I>c< dinicti'it tn \ko prnrinoB of pm- 
VPntlvo innlicinr, *a llii> liijiliciit linil iiinti »fi1>l<' bntncli <if ]ir<iT«iilivn nii-alli'ion 
Kliiinlit coittlnl. In tliA Htiidy nf tlin bri*t. iiicntiu mill tTifi ninxt prnrtii'iil liirllimlH Tor 
NliirtliiK yniiiii! liiiinnii brlncA mi Ibnir tij'a lari-; fnr jin-nirviiii; Mi<-m fruin llin lu-nln 
wlnrli Anrraiiiitl tbr I'nily bmir* "f i-xihli-tic"; r<ir kiviiii: Ib-'in i.lri>iii;ili >i>-l vi(;i.r la 
resifit llir iilIiirkH wlik-b. );r<'iit(-r nwX imirii <l»ii):«rmi(i in inwru* )iri-|irirliiMi (n tliair 
li^. mii?>t ini'Tilably W uiikIc n|ii>ii tlieir titnlitir. Thi> |>ieviMitivi.v nlc•lli<'in•^ ufonrly 
lifp i* prei-iniii'ntly t.b» inli'lliKcnl iniiuiiuitnii'tit at tlio riulrinn'ot wbicli i>niibl«M 
yoliiiX Uiiiiiaii lieiii)(* t'l brniitbn nn<l ffcav iiikI livr. In Au't.it in n (■ropc'ror mm 
llnliriiiH-i niilrinicnl nbicb innknunr Wat* llii- |iKrrc-^l)iiii nf tb<- i^iiniiuic nuw. Intelt 
ri»*rliii||;. t.bi.-ii, Ik tbn >>iib,ii<i-t iir.ill nibi-ro <v1ii<-b *b'>iilil iiiC-nuI. nriil invito lOTWiMtfi'h 
all wbo iiri> mritkiiii! in Ihf iT'vt'iiiiru ni^ilii'inc iilrarly lilji. Tht' •ii>'ji'cl i« .-» Kii^n' 
ouciiiiilli worlby <'f tin- .ilTfiilicn uf lbe(;Tuiit««t luinilxuriliD age; vtortliy fut tbuiliii> 
cnniioii of tlio IfRflriH ill iimtipiil tlioiight of our WuhUtu Continent. Tb<> rvKpnuai* 
billty of iiitindaciui; incb u HriaM>i<|U<vli"i> Iwforc iincli an tuai'mblnge itf »ctrniiMil 
mralirnl tbocijcbt i* n itravi- aim. It nbuulil ha taki>ii up cuiy fully— It ninat bo divlt 
Willi broadly. Wit innst ncknotrlediin fnr Ibe prracnt. nnd ill fact it ta triii\ llint l« 
lbi> ■intiia nf Infant ii-edia^ on it Iina riintnil np In tli« la^l frw year*, tba nvpnia 
liniiinn bn-ajtl-fnl Infant, i* mnri- likely %a liv, tbn ntli«r faclnra nf Ibr lifo jtrnlilpM 
bnnu «i(iial. MiLtn Diviiirmit whii-b i>t fiiil by aiiynl.livrmetlioil. Itnt we iiiiiitt rvmem- 
brr ihot l)ii> lativt aticiitilir work nn Ibii nilbjwt aliown wry flmrly tbat it ia nat 
bn-nalDiilkaaa wholevhich la prcrniinontly i;o<mI. bnt tbnt llifln niiMlnflnile known 
maooiia iuhomut in tbn diflcFMit p|nni<tnra nf (bn brvsat milk whi<')i make it Ihn bntt 
kiioon fond. It ia our provlon- as arittalilir workvr* In tbii' tn<i-t imgiortanl lifniifti 
nf (imi'tiral nmrllciou to your l>;r yoiir Hiiridat(> and nmke ii>h< of thcw olcmMil^ 
uuiv «ivvml by a Bi>iii«vibat uiyilorian« voil, bnl itaw npidly brinR Uid bam by Ibn 
■cati'h liiibl i'( pati>-nt and biborinni inT»tiKation. -K iircnt advaiiro boa Ix-cn made 
In onr knnnlrili^ ■« i» nliat ict- hir ti> iiipy fiT>iu buiiinii broant nailk and what wo 
miul M;bi<ivo la pTvpailnic a aiiballtiito. 

Til" very CHtvnrp of tbia itradtlral Infnnaiiliun wlilrb no bavo irtddnally aorinit«4 
Mm in Uie itiacorcry that thoTi> i* no ant puthi'l riiitriineiil for yoiiii); hiiiiian Ix'inua 
na n whoir, but tlial il la llio chaiiffro in ttio vniiima flemi-nta of Ibe limut milk 
irliieli aatiaf^- tbednmnndaof tli« iudividua), and tbn*in tinioaaita IlioinMiy tOMCh 



PAS-AMKRJCAN ME1>irAL C01IGKE88. 



i3id 



» 



il«Kr*' tlint UiIm pTi>ti>nii fi>«il lino crrnnnxixly coaw to lie tiiokoil iijvoii u nne 
Mfioi-i n I, II iirliaBK'ii)! '■"*'''''>*"'■ '''" tiuiroiitflily iiii<l«i«liiiiil niiil HiicirMMftillf walv* 
till' r<ysl)iu protilciii of Ui« early kiotiIIui of lili^ it kiiowlvilgu uf Ihv clMn^xa wkloh 
tukit ]>1iMM> in tli« niAiniiiNrjr gliiiiil Tiuui many rmni*<a tiiiiNt li« clraH,v kriit in t1«w, 
Aipiin, tbo melbnil* of tnutHtyiug tlie milk lu lliu biittiiiii inammiuy Kliuidf liowcwr 
liiiilUHl In tliiilr iieupfl thry niay he, iilioiilt) lin prn^licaltr tnvesttKitUil dad «areriilly 
i»lB|>t«<l 111 th* ImliviilDnl arronliiiK tn lU offii am! aiiit and Ronvral phyniml lonill- 
tliMi. Tliii iioBiBian' glaml !a itupi-irrntnil i>U>tit, iiiilnHin'iKiHl liy dinniuui or itnrvoiui 
dlalnrlwnro or liy tli' linpraprr llrlii^ nf iik ovriirr. i* n tinniilifnil.v ]tiln|>lKiI pkre at 
HMihuimu ««iMtnicli»t f»r Ibe «UIiot»I[»ii nnd i«ii-r«ti»ii iil' nn niiitnni fo'Hi. \Vlir4i 
tn •quilihTiiiiii it r«]irtu«ii (B iIm> 1iii*livHt lyt>c of u Iniiii; niin'biiiu iidftptrd foriv 
•IWvibI i>at|HiM. Uiih »ieeliami.-nlly. rhciiuenlly. pliyiiinli)){iiMil1x. and prcmomicallir. 
Wlirii tut uiiy rauH' tlil» H-iioltivn iiinctiiaprr li tlitowii out i>r v'|iiill)iriiim it* pml- 
ui't U at nutfi i'Luiiu^d. luiiiintlniM but tillslitly. Imt n^niii In micli iin i-\(rnt tiint 
tlif-mimt ilnunlnMi* i-i>niuH|ni'tii*i'H i»jiy folluw wIimii It U ImliiWd l>y flic rmi«iiiiii>r. 
To Hlnle tiMTii, I'oiiriRi'ly, wli.it I Iium> iiliriidy Ti'Terrvil tii, wr «lii>iild. in •tiid;riN^- lli« 
fuamnf nititiDii'nt whirl) Jtti.-ill li« >»iimIiI» fur tlir mirly iminlliKor life, nianifMlIir 
tm cnidM] by trliat tinlum biw laii)(bt iin IhntiiRbuiil mniiy 'igiw. 

TIh> r»riiirliM (if HFinni-p iitn, Indnd. Mpprlulty in llii> iitbjnct nf infliDt froditifc, 
wtsFly dirrflrd tn Inaininii '" r*"^'! '!■*' Iciillio vrlilrli iintiiiK prpimiitii to iin. Ilrpnt 
progrfwIiB* hnri) land" ill rnii'lltip; tbr*" tnitk*i wbnl wi> ATi'iit prMi-tit i-tidtiavoring 
1(1 do U li> nipy thi'lii. Tlii> iiinHlitiioiiiN nf the iiulriiiM'iit wbicli iisliiri' lut* piuvidml 
fur ltii> iilfxpHiiK i>r nil nuDiiniuli i» <w>i-nti:illy iiniDinl mid iieviT vi!|;i>tabt«. Itiiman 
IB|[^, tlivn-folVi ill tlir lirnt lirelvp iiinnlb* nf lir« lire lariiivotii. It in tbi^rvfoTD 
<Dl tliat ID nuimiil ftiurl r-iilii«ly iitid ulway> fm^ friiin nny vpsi^nbto eonatitn- 
Vnl* )iiu lipcii provixl lit ■>!■ tk<> niilriiiirni nn wliicb ibr jtrnttnt iiiimbor of hiiinun 
lialii)p> lltonnd tbo Irsil oimiliiT dii-. Wbrri^ utiu] tiriiiiil iidlk, or rittli«r oiio ili.it 
ilrly ndapinl l<> tbe tiidiviiluiil iiifniit. I'liii iioi i>r ■^l•t^it1i■•t, m, if •dil»lii<-d. <^aii 
bi> rrfjiibiiiil by Biinlidratioli. 11 U dcMniUli' ■•> cmnliliii' I bo ^Iruir-Jilii uliK'b )^(id 
brnatt nillkt rrpr*M-iit. Kiit pr'ifiu't.ini; IbJH. whui lM■^l )n:iy In- nalb^l itiilmlittili! 
ftMlltii;, w« niiiitt liain a ■iiali-riiil wki<*li. wbilr m <'liiM-Iy iis t ■■»<■> ililv iippruiu-biiiK 
Ikn nitalyiv* nf pH>d bridal niilkn. in iil>i» iMwily ai'i'e*iii)<ti.-, ThiTc ia no nuimmiil 
«li<MPinlIk pnnliirtioii fHiir«a|H>ii(U siillUiriitly |4> bimuiii milk l» n-ndi^ra dlrcrt 
■nbaltlulUiB aafn or wiiw. If, Uieri^fori', milk in mind, Ibo |<rotilnin damaiiila for 
lla Koliitlou u iiKidi&nd Dillh. Tbo iniuiiniA] whoan product roprnwiillns ao^rnlv- 
oniiM (imi li>« iirvti jirovril fmni tbo rnrllcat ugm to liNit witlafy llil* di-ninnd i* 
tlio ciiW. roTtalll brvi'iN of rnwh ain bntlnj lulaplrd Tbnn olb^ra to prixliirp lilllk 
«Ui(li mil Ic nwil for riijiyioi* biimiiti milk*. Kor Ibo iiai< of tbt* roiilini'iit lUciMi 
lirMda uro tli« lliirliatii, Aynibirt-. }|<>lKli>Lii-I''riKti«ii, Anirrii-au gTHdcn. iiinl poniinoii 
natlvi'i. 'Itii' infalil nl tliv Utwist reopivuH fur il* iiillrimvnl a fluid wliirk ia frviih, 
•U-rlli\ nviilnl •« laiiitly ulkaliiiu in rrattioii, wbi<b Iiim a ti-niiipnitnn! of HB'^ to 
IlXr t'.,ui»I wblcb il fiitnUbcd tiinii xiuoiiiil j>r«i>»rti(>niiti; io it.-> dkc andalii!. It in 
tlii* dnlit uliii'b »o nboiitd caiiy In i-vory )inaiii1ik- doluil when up nndcrtuko to pro* 
]iani a hiiImiIIuIc foml, Wi> alioubt iil«o Fou>id<ii oa fnrrlKD mnttrr tn W rliiJdIf 
ft«oidad( uuf oloini'iit nhinh wo know la not to iw foiinil in th<> iliilil wlilrli uu nro 
M|iyiBtf. Tlln*. Mid limn only, ran wu (innlly nrtiru at llie ptupvr -Hdiiti'm »r tliia 
Inlrlrut* fnndiii]; pn>blfni. It wnvlil aeom bnnlly iir(-iwi;iry i<i «»bi;i'<I Ib^it Ihn 
propi-r QHIbixity forivUililialiiiiii rnUa for ■ii1»litnl« fi-ediut; •liuuld rui^iniitv from 
til' mnliral |ir»ffMlo«i and nul front bntimrdii'itl FapitnlUlH. Yet. wli«ii we iittiUr 
tko blatory of aatiatlMto ftywliiiic na It la repmnnlfd nil ovi^r the unrld, tile part 
iibli*li tbo fatidl)' pliysician playa in pumpariaon witb tlio iiiimli«rlHia pntitot aad 
|>r»tir|otary fiuxla ■diniiilnt'rrd by (lie nnraw i^ a Iinniilinlln): iin« and »iin irblrh 
abimld no ImiKnr l>o li>ti<ralnl. I would pirnil In tb" nnini- of riimnion biininnlly, iw 
writ aa In tlial of Ibr intidllsCfirn und ai'iMltllii' ri>j>iitiit.l<-n »f oitr profnulun, itiiit 
lliia miiroMnlallvo buly of Auiurii'an pliyalcinit* xliniild in il* •■nili'ivriir to itdvnlico 





1320 



PAN-AMHUICAX MBDICAL C'OKORESS. 



th« ^rnrrul KHliJiti'l of liiTaut litidinjt rr«on1 iUolf as oppoaod to tho imd <if i«tvnt 
iir |>iu|>ti<-tiiry fiioilii of nvorjr (lMrrlt>ll<iti. If vn niv Blironot nf Cbo liiuM, it wc vill 
but rccuEiiiiiL- uiiiltlo JiuIJcv lu tb« work wliicli lus lately 4>iiiini»ii>>l troia our ••ira 
yrvtcaainii, ye nunrly nill iiol lit<*iliitQ t" liulill)' tvIi'^U> t" olilivion ili* Ht.it«tiiMil4 
of tlio too'i inuiiricton. uIikIi im bnx ao'l luii, uti liuttlu uuil on )iriiili'd nrrutar, 
nltcmiittanCciii (he ■low lull iiii-vitnbly prnKn-iHiiii; \\ ii« uuf auieutil'ii^ iuv«atig>ticiit. 
[t may he veil to lii-ar in niiml tlint tin- ultemjit' wbicli in Ibe po^t linvo boeu 
iiinili> 1« niikiitilnetiiro rhi'iiji fouiU liikvi> hova iniirki-illy failurra. \Vd roant Itnt, 
Ti'tc<'l'*llnw of ri]i(>iii>o, 1<-:iiii !■> |>r<Mliici.- Iiy imiillllrutioii n iicvfRrToil BillMtiliidi fiHxI 
l)«r<Dr(i ivit slioulil t<ii(l!irij:i<r tl)(M»ir(-i>iw uf our uii'lurliihint; >iy iillitwlii^ tlii' nictoiku- 
lilr ftitU' uf Ihu <|ii««tiuii to iiri]i]itu IL4 In U10 iiMt i>f cufltl.V lll(^thu<ll• irhlrli, liiinvrvr, 
we knuw Ifl lie till- be»t. W<> ■lioulil, in fiirt, mmeiulicr lliut lliu iKitrimetil wbtrb 
we iiTi' PUilRiToriDK t» copy, fitr rruiii lirinic a >'lii.'ii|> proilucl, l>, on tlio iTuiiiraiy, a 
vn')'ox|i(iiinli'o (i|u>. It !■ tbn kiionltvlifoof bim' to (lotrrniliio tbn bout roaibiQatlnua 
of caitiiln rleiliriilHAlltl tbi^bcxt lii*lhoil«(irnrri)[il|)l>Nliiii;; tli«iui rooibliiaUniM whlcb 
biiH ill lliK laxt yeiii or tuo p4)>«rliilly pbiiiiivd (nit iilldiiliuii iiiul )ii wliicb »(• liare 
met u'itb Ri);uul oirceK. 

TbiTc i« !•!> (toiibt but what oon nf tlin iiioMt iniportiitit i|iiriitioM ounaivlMl wtUi 
the i>rc{iiiiiit)nii of II niibatltiiln fonil i* Ihd imiiiitr r'nitiol nf tbe prima) milk •xi|t|ilj'. 
Wbnt thnt raiiuol iih:ill bv uml huw it ib.ill iibmilut'-ly bu ki^it III (lir liuiuliief 
tboM will) by riliic^tiiiti Aiid iiiisoiriKh iiiti<rmt ini> iiiD«t litti-il to ii>o tlii'lr t<ow«r 
wUety i* u iimttiT wortbf <if your ili>e|iiv( tboU){)it. Tbf dulv rotittol, a» reprn- 
Htftiti'il ill Iieiiiiiark, m itnlMtit u ■■nlliitiit <-xiiiiipli> nl wliiit vim lit.' (ki.'t'uiupli>li«l in 
thin <iin.'i*lioil. Whellior u iiiniil;ir nii-tb»<l wmibl pTtiVe to bn lllo bent for un to 
ililo|it lioa out IM yrt by nnv innaiiA linrn proven. Tbi< ]>olltirul floilila wliich roiilin- 
iially olmi-iim ibn liii>biot m'UHiiiin' iL6|iii»tli>iift mi tbi* I'lmtiiiieiit msk« it pmbnble 
tlint for llio )irr»<-i)t, iit ll^u(ll, the pHiiial niilk «ii|>|)ly riia bott bu jM-rfnctoil by ii)dl- 
vUllul culvrpfiiiu uixl vutbiimauii. 

Finally, I wuiiM uull your ulteiition hihI runsiilumtlaii tit the itmnt mpBcily <if 
<tifi'*toiit iiifaolilc (lignltoiiii lur ftMimllatiiiii u viiiicty of |in>porlifliii> of tbn mmb 
nnlritivc rlrmriitd. niiil lixino wbrii iiitnjiliiiiiit; itcu' iiintlioiln for |in-i>arliix a »ib- 
•titiilc foml tbfi Tirr«Mii>' for pi'ot iiliiiK r»r muiiy |ii<-it>'ri|><i<iti pitwibilitlBH. 'Ilia 
Intent iv*i-itii'br« oil biiiiuu bTK»i>t milk nbow Ibiit lb« iitlxiiTiiu uf the iiitlk l« uot 
tiii-rrly att rKiidntiim ftviii tbo lyni|>b vrucln Hiipplyiii)* Ib« iiiBniKiary (jlaud, bnt 
that it i* iicliinlly itioiiificil in the brci»1. We tbiis im'c Ilint tli* inauiiuary tfUnd, 
liMiilNi bi-iiit; an rlnborntor mid ii iturohoiiiii- for iiilimt nntriiiinil. uaUonmoillAor. 
KolliiniiiP. (biTcforc. antnro aicaiii ilou-ly. w<% liuitii tlml tbi' iin-ri>u> iiiodlll<*atiun ef 
an ulwohili^ly pure iiiwl ttr*h piiinul milk ■ii|i|ily in tlii> viinl jirinripld wbirli iboalil 
at pment uiiiUrlie out i-11«rl> 10 |iiirr''i't itiibHiitiil*- fci^ilicig. and 1 trii»l that tboM 
wliu will lo-day tnko |»rt in til" disciiviiuii of lbi« Tory imporliinl mibjoot will 
(wpnctnlli Milljjbli'o ii* on tviii iiiutti^rs uf ottrenio inlerunt. Tinit, what ii Ibn bant 
nwtbod of (lb tain ill]; a stabtt- mid jirrfert ptimiil milk napplyt Sccoixl, whcii thU 
•npt>ly iH obtaiuMl bnv sbull it bmt bi- mnilillffil f 



STiri»IK» IX INPAST KF.EDIHO. 



llj BEXItV DWHJHT CtlAPIK. M. A . M. 1* 
t\^mtf nf ttiti*ut ^ itkMrmu ai Oj Xr>r IWit f '•«c Crviloac U'^Uent SAtttmt^ HntfilaL 

llirrv arc rMlalB rrc|<il«lti!ii for an liifant'ii food bidkirv It ran br rMOiuiiieiMl«l f«t 
ItriM'nil tiMi. 'riiiiH, It iiiiKit bt> n-adll) pr<H'ii(ab1a iiiidM tli« trointnoii ami urdiitai; 
(witiilltlalM uf lift-; it iiiiMi ln> ihi-i-tlihlo, ituiiiitliiitg, anil fairly e1i<«p. TI10 ndiliu 
(ir |>rf |ianttii>ii uf »iii'b » food iiiii«t nut bv too cuiiiplii^aiFd. The I'onditiimn bnrii 
iitriilioiivd rnii only bi- mot by I'lnptflyiiiff (oiw'n milk. iii<>r<< or tnu dlliilnl or slt^red, 
accoiiUnit tu Ibe ni-oiwailini of ihn rate. Thfi following paju-r cinitalnii uo U««t |i«(n- 




PAN-AMRRICAN MRDICAL CONGRRSH. 



1321 



, bat k* raUiaf u tiii-miI of Biperivntfe in llut timiiliHiC maiilpiilstloD of 00**8 
luilk lo makn it sin«l ac'^«|>lllll1(^ to Ibi- iiifuil'* uTiimiirli jnil iHicmlloii. Tlio ■■linioAl 
rilvDi'iii'OliM iM-eu iiriuci|ullydfrivr>il (rimillio ti>l>ini.'uATil>(>['lIi^N(<w Vork VoeV- 
icmliialit.llimpilal, wliriu ihi' liirunta oi-it ■■il>|(-rti-(l tn r.Unis Hi-riitin}' uiiil runslniit 
w*li;iiiui; iliiriiig p«nu>lii rniTJux (roiii Bevi-t:!! i!n>n (■• ii" iiiiiuv Wtfekn aiiil loiiictlDiM 
«vmi UiMgor. TImhm> who biivn Imd a larc« <liii|i>>iut:ir,v iind liiHi]iirjil rx|ioriuiiiM> iu 

§BrtJI«liil Infant rf^lillK :iln"iiK Ihr |><iur c.-iti not lin'O fiiilril to iiiitirc thi' rivi)ii««it. 
tMidMicy to atroiiliy. Tlii> rn oflvn «•> i-xlii.-nii- iih Iu cjiuio ilciilli, ICvou In r.iMw ui>t 
•o nwrkod thute ■« nlmost niiivemiiBIy prvHciit a (.'imilition or iinilmrnicht. Muiiy 
iliilkvoritblv li)'t[<«i>i'*^i>u(lili<>ai> TuTxr tliiii (le|ilotiil>l>> rrault, Imt tlir tiriiiri|>ul i-unw 

*iii tiie iiatiire and quality i>r tlic fooil lliut in ailiiilnUlrrr>il. TIiIh iiraio Iviidt-ucjr 
l««anl atrophy aluialilciiaituiit)} \>o borneinmlndiii all Klmlii-ii WariiijcouoTtilldul 
iDlknl rpoiliiiK. 

Tlici lullh Aanr<Uii*rUy il«)iv«viH] du a givea momiiig in Now Yotk, and donbtlm 
ill olbxr litic<'^iti«t,tniMi«i(iuri> mix til re roitiiltiiif; rroiu tile iiiilkiiigii«rtbi^ prxviouH 
■uottiiBi; nu(1 tli« ui^bt iiivpuilttiu, Ibiia bniug IVoiii 'SI U> 3IS limir> old. If tli«i nillk 
deah-r know* bin firiiirrn hv can ■i>rantini<« Imliirc tliiMii lo |)ut I.lir 'Jt buiira' milk 
In ft call bj itccU, vLicb ii a ifam lutn^iiplu liil'nnt fi'i'ilint;. Wlmt )■ ur^ciiiily uv«drd 
b iiKirv •rrtijiiiloiia rlranlliioaa In tlir iMiidliDj; uf Ibo ruwH and milk npmi Ibu iJinii, 
knd (|ilii'k«r aiiil in(ir« fm|ii«iit iTiFlhwlH of ttuiiHpurtiiliuii of Iho milk lo town iu 
nrd«i tAnipiwcDtu rral gain iu tlir fwdiugof infutits. It need li»nl[y biN iiu'iitionnd 
that tlio ariir>Kn milk from a lierd uf cuni i> buttor uiid aiirrr Ihiiii Ihc tindlliduiil 
ftiifi niw'a mitk, Aa uuin iii tlut milk in rnrnlvnl in tlii> tarly inornliiK It i* put in a 
till pail iir wldo'inoulb ri«arl llint I* nivrroil and n)lnw«d to »Iand iii a caul place 
tur 3 hoar*. TIh> l<ip half oulf »f Uila tnilk in to bn ailiniiiiwUrrad tti lbi< infant, aa 
Bdviand by l>r M<ili>», Thia Inp portion ib iwal «>>piiriit«d )>>' tiuiii); riir«fnlly dippi-d 
»lT tiy n I'tip I'r Iailt4>. If d(!canli-il bulb lajt<iB of Ibi* milk nill li«tir>mi- mixed liy 
UlK |uw«r |urt nxnii; nhi'ii l)ie rowel in lippud. At tb<- bubiea' wiinlii ii long gluM 
t>liiMlri u i-iuployoi], which i* s"^'""!"! ""'1 furniiibcd niib » utopiuck at Ibo 
iMrtliitii. Afirr iitAiidJDK tbo tM)niroil tIniK n illatlnnl dIMVroni'it i* nnlnt in l.bn two 
jiMlioiMuf tli« milk, wbii-b nn'tuxil.v a«|>aratnl hy dravinji ■•II' tin- loHnr h*1f and 
NMtvinii til" reninindHr for tli« infant'* ii«e. Iu ordvr tr> Ivarii viai-tly wliat dilT<M'- 
Moo III* nimpli^ prooBw of atniidins wonlil iiuike, Ibp tou paiiH tif the milk weio 
aBBl.viFil, wiik Ibi- fulbiirriiih' riviiill*: <>iio itnllon niixdrnwu fruDi tli» liuttoiuof Ihe 
BjUlldvr, W«ll mixnl, ami u nainple taki>n wblnh ahowed; 



f 



rat. 



3 
1 

a. I 



xn 



•.a 



Tlw Mpp** p'iftloti ••( tlir milk, ] guUon. w»a well mixed nu>l II tiamplp hIiaitihI: 

Fal. 



(• 

4.1 
1 

IT 



TnUI 
•dlhla. 

1 1. Ill 

14.03 



K.«» 



■-lit 



1322 



PAK-AMRKirAN MKniCAl, CONOKKSS. 



Tliia anolyiija aWwn Itint pra^tifally th<i oiily i-liniiK;^ mi ■U'litinit la it Hm i>r f*t. 
IliU, of cniu*'*. )>ti|[UlI>' riiiMm tlm piTiniilikici' at otlirr ■■•Ifil* lu llci hiwrr jiortion, 
•inf(> tlm nliKti-itrtloii uf auy (-tiii*lltii<>iit fnirii a iiilxliifK miH«i> ilii< purr«iiliigD of all 
tliA rmiui(niii): rmiHtitiiviito. Ttii< ii|i|i('r jioition conlniiin, i»ii|jtilir. !• paria of fiit for 
STiiry 3 parts oiiliiiuol in tli« lnwrr |»irtioii, Tbr uiiDimnui of Tat ikllowi'il far 
ipiliillli* milk la 3 JiDT ceDt. TIji> ilirrRaJn-cI unxilliit of Tut tlinH pruciiTnd. iti tlw part 
orthcBiitk lo Iw iDiHt. rvprtwciilo n rrnl kuIii lii rnxlliiK tli« iiiranl. The iiewvr 
lUiAljnra of milk ito not cotirttin tlm olilcr vji>i>r Ihut cow'h millc coiilniUH wnirB Hit 
limn hiimaii milk, l>iit rntlifr the tvvim-. Tliiia Piuf. l.i.'Uil« roiiMiI, >i|>»ii aunlyMW 
i>r 13 amnplrn of mmiiiii'i rciitk. aa avvmga nt 4.013 ]trr Mtnt of fnt. irlikli- itpiia 
■□alyaca of 1 1 aani|>ln of wjmIh mnrkrC mitk thf ■vera);!- pcroi'Dlajtn »f fnt iriiii nnly 
3.V< pM <viil. KKiiii; tliiila tUo avrragr >if fnt In wniiiaci'ii inllli In hi- '3.'.>0 pur ««l, 
Bil'l III i^nw'a milk :l.li>>p(>r reiiL rrof. Itolfli plaom tbfiiVi^rBKi- iif fiit ill biitli con'* 
mill wiiiiinii'* mtlli nt 1 per «eiit. An con'x niitk bn* tii lin iiinro t>r InH clilninl Iwfor* 
bi^iuj; itili>iliii"li-Ti'>l to (liri liintnl, tlm iifmuilty of Ki.irliiii; with ii pri'imnitioii that 
U rl<'b ill l»t will !'<' iippiinillt. Til" iioxl olfp t<i III* liikni !■ In uno llinl. jill furiunii- 
tatloii ill tl>o Tiiilk i* at'ippMl. 

(Vik'u lullk. iLiordiiuniy prtmirnl. niiiHt ]ic lr«»t(«l for II* Iil<i1(i|;ii'itl u nnll u 
ita rliMiikal prcpcrtiM. Tli" ttrll-kimwn pn>i'«u of •lorillraliiui iiiiim l» fnllllt IhU 
olijorl. fartlal alrrilixnliflii, nr piwtriirlmloii, to tliv point of killiiiK ili<< K''mM 
only, iancomMry nuil ilrairatihi. Tliv lil|{li ami coiitiniiuiiN ttMiijirruiinv r<u|iilml to 
AfUttaj uporpi pniclncM vnrloiiN iiiifuvMulila I'liAiiKtn iu Ihu milk, l^arliriilly, mil 
Uint In rv'ininHl m tuniitiniit tlio milk to aiiinoiept hmit In ilmtmy tlio UnciUii* vf 
l>i'tk*ai-lil rpriiii'iilAtioii wtiicli vaiiniw t1i« KininiiK of milk. TliU bfldJllnH lina bivti 
4lMi*rilii<<l :■■ iif Kmiil) oviil fiirm. oociirriiiK "i"Sly nml hi piilrH. It I* navy, by pn>- 
1uiii;m1 and wpi'nimi nppliciittoiii of Iii([b trmp^inliir", tn ki«p milk jnilnlllllt'ly 
Jrom "iiiiHni;, Hy rub paling our* or Ikii-p, it ciii bi> kiipt for nrnith* nitliAiit tuiy 
aI|c» of ariit fi-riii(<iil.itki>ii. Siii-b tiiilk, tiniri<v«r, ix l>r tm uiraii* fit for nihil in iiitrn- 
tiou !•■ tbn iiil'int, BK lbi> fat. vvllvi-l* in innsiM nml rbnliuM \iu\r takr^ii plnro in llin 
Rklbiiiiiiiuilil*. Tbo cnoptii in allrinl. tli<i milk ivmninlns nioiv or 1«»m ll<|ni(| in ibn 
BtAIWncli. no tbn ai^lioii of Ibo ntninncb nciila anil of tlir liirlir iVniiml on tbo raarlQ 
of alcriliml milk la Inrompli'lP. Annl.t-ipa of ftn<-n>iMriit aknir imrrr tiltroitm and 
iiuir« fnlly si'lila arii^r fraulinc iriib Hli-rilirnl milk Ibiin wilb raw milk. Not ixilf 
in IhMlisMtibilily of tho milk illMiliilalml by l»ii;c Iimtinj;. btit tbi- niMWMilly fnr il 
iiiiljvuu-a no iniifb lKH'ti>rinl imi>iirily tliul tbrir nrretn. vhicb rnn not bi^ miOend 
liarrolnM liy brut, mny rniiM) poitoniiif;. It bus br«n founil tliat milk wHI iiU-rlliied 
Trill, nfti^r n cerlnin iut^nnl of lime, iiiiiIciko • aporica of dapumpotiliou wilb an 
'»lka1im> rnnrlioo. Hr. Kuplik atatM tlut tile alkulinn foimeotation baa not bvon 
I |livn)tt|i;at«il l» anrli nn nxtrut Ibnt no cin irilb Pi^rtaiuty pnta upon tb<- >ioloirriniii 
In Kiwi-d*iet«rinRa cfToota npon infanlJi of tlm pioil'idn of Ibii dec ninpoti lion. It ia 
rtiiwigli t>> know ibiit it lakea pl.v4>. nixl rorlnfo ntkainiilnl ■■Icinputa sr^ vory alowly 
bill unrvly prodiif*^. Anvnlingly. tbia nriler rotnlnma* tli«i titorKi;<>of HlerilirMl 
milk Mi<l lt«B>ili*«H|ii(nil nsL> Bftor i>inlnii;,'pi| pnrioilik, aad t coumrwiMi Ibi-i opiiitno 
Simply RnAletMit koal miwt bu applinl >o :lin milk lu k»»p it awi-i-t until th« um% 
•npply can'bo |>iflpiiri>il, An ordiuarj- donbk Iiirllar. xovb an in found in i-vi-ry 
kilcboB. will m««l all tlir mpiirvniPni* of avi-raip li«attnj;. Th<i AnuiM aloaui 
rookcr iiiAy IITvvl^ mori> niiivrtili'nl, nn<l Krcftman'ttpnalcnrixcr la hnndy iiiid (ilUataat. 
Aaa rnlo. 15 minutcn' brnlini; it Nnflii'inni oilh tbobollln well )>ltiBxail witb eollMi, 
Tbr additimi ofn I per mil Bobilinn of (wroxide of hyilmxini !■ n anfo prvaervalire 
of milk for MMne boiint. «bi'n ki'nIinK la nnd«alrablo nr not ronrAniml. If nor* 
•enipnloita rnio weri* o;<«rrlMHl at tli« annicn of tli* niltk anpply, knd llie iinpurlttM 
compklelf af^ratwl by tbo rrnirifnf^t pnvvM, In tbr ^ivol majority of cram bo 
moBiia at nil for pr«norvatii>n iii-d bi> nnployoil, atiO an mlvnti^i- in Ibla dlt««iliMi la 
amnillT nredrd. 

\W atill bnv« fiulns lu llw oM and dIOIvult probl«<u vt liov t» act boat upan tk» 



I 



PAN-AMRHIPAV MFDICAt. COKORF-SS. 



1323 



loURb, bwlhflTT «iinlii or (Mtw'a milk u» U> niitho tli«iH inoHl acceptaliU t« an infaet'a 
*n*k (lljcui(li>n. Nul iml^ ani tho allililiiiiiniilii initvii greiili-T in luuoillit III row'* 
tuilk, Imic itii- |>»iti<>ii lua^nlaltlo bjr Aviild i* itrmtei iliaa tlie ni>ii-<'oJif:<il<>''li' pA''t> 
■lilkM WMimii'i uiilk till- uim-<'i>ui;iiluM» part muvh cxcr^l* Uii>rua|{iilu)>lu)iurliuu. 
ilmcv tbu tlilaiioii ur ruir'a iiiilli, while ri'iluciii); tbi' iiUiiimitioi'lB to u pri>[«r yvt- 
bc«nts|«, (Loiia nal nccoMniily Tiriiclor th« clot iiiiltii-iniitty anfl ti> I>b readily dJpilt^il 
^by tbo Inflint- Tlut (iimllini wlicllinr t.lio aiin of tlid i-iilil ilntiita In uiiy tvlutinii In 
till' milMUnrii mini at Iho <h]iii'i)t li»n liroit (liH|>iiU>r1. II liu* lin-tl hiiinlil lli.it bj 

I uliliiiK K'W'Uut IlM'crri-iil u">i>i'* <« <■'»' *"'')' t'"* '''"^ ■* ■'i<--<'1iiiTiii-ikli.v ni lenuittoil. 

i I>r. Kocrll Htaliw, on Un'cmilrury. that piui'tir:tlly Ilia iuxi> uftht* riinl <I«]h.'ii(1ii sitiiplj 

I mt tlie itiliiUun of tlui ■llmminuiiLi am) niil upon iLir imrticiiliir iiieiiatnium iihbiI. 

I (*liiil(«I rntiilu. Iionrrer, ]ioiiit plainly Ui Ibn iililltv rif ililiicinn with Imrtry water, 

loii'i'lil ht Tary youojc iiifniita, ami I linllmn tlm iH'iinlii'iii) irilt-da >», ro ii npnaln 

I ritnni, lion to m ln>»i-iiliii: of ilio cninpai't cIiHriw-lcr nf I hi- rl<ii.. In oril'T li>liMit, tliis, 

|ltti- r»llnwliit! i> t till rim I'D t nnH iiin>1i> by |ir. Kilonri: l-',<iii»l [■''H'< xrinnii iiiiil l>arl«y 

ralpr w^ru laki-ii, soil 0.1 sram of li,v>1ru<-lili)rir iiHil wna lulilcil to KHI c. c, of tlie 

linliitiir«>. Till* Mtii.'Dj'Ui w:iM ciitplnyiMl, iik in )nk*lfi<^ jmcu ttii-ro in ii.'J|;ruiii uf byilro- 

tcliliirir ihhI In 100 e.i-.of lliiiil. wliicli, on iljlul.ioii by tbi* cunlniitji of Uii* iloniDili, i* 

I «l^ak'IlC'l iu>in<iwliat. an Unit D.l itniiii io u Tuir ■•iitiiiiiiti' fi>t llii' p.vpi'Timoiit. Smiin 

' nlbiiiniiia ri<i|illt<' IVJ }>vt iwtiit bvilmrlilcirir •Ctrl nililft-l to [icipitjn in artlllRlalili|Ci>N('i<>n 

|4I olitallt till- (■■u-l rvaiilU. biiF. r:vii<lEI Rilil lrD|Ict'>l>1<' nlbiiiiiiii nri< illiimtpil bi-«t byO.l 

. jiPT mit of fayilwN^ltUirlc luiil.* This *t)M>rliiioiit hIiouikiI tli<< cuvin funiicil iu liiit>ly 

|-illvbiti-il rlola. Next. 4s|iul pftrt» (if plain nat«r aiiil i-i>w'h milk vn^iv liiken unit 0.1 

[tnlii hyJr'whkirli' n*ld lulikil lo 100 c. r. of rhv mUtnro. Tliin allowed Ur|[«r cloU 

than liKdim. A iiiimlierof rrpolitioiiH tptrv niinilurtPBiilU, nalii][ymrioiiscoii|[iilaUn)( 

IkllAiilaKhcn pluin wulcr ntid thin (.luobi worn naed aflcumpitrativedlliiotilji, Whitu 

lltinurt almio wiw omiX na tli« <'(iii{nilutiuii a^i^nt, tlic imiiIU «cnm ao ililToTiint friini 

tliipil wkni kydinrtilnric acbl wiia iiaril wllh (lin rennet tliat rtviiir*!* trna 

■•Inninrli lurlf. willi ivaiil(B|c'^'^' i'ltlii* ncroiiipiinyiiig jinpor by l>r. I'iliiurt. 

1i(i Abail rati lac ■■ In lli'i (■Hipluyiiiriil 'if wliitat <>r biirley lloiir i-Kiivksl* in I1k> 1sIi;>' 

prcipnrtimi of iilari'b rmiialiiiil in Itii-nn j-niini, wlili'li mny bi> ijn^«t in v<<r,v yonuK 

tllfalita. 'Diio ntorrh niuy tiu nMiilehit mA^•^ xililblo mid viiiv nf iiwimilalinn Iiy bcikt 

ttt illaatiMiir ncli'in. In miiny viiwm lb» cnV-ct nf ]tii>T«iig«d licatiti)- iipnn liarlny and 

Ivhi-at lliKii apMiia III liiiv II lii'm-ficiul i-I1>-rl, |iiirliciiliirly KbiMi then- in ii ti^nilanny 

l.tn dinrili'ra. Ill" kimmI riunlt*' ••( the i>bi flour bnll. Inadn by |iniliin^i>d bmlllii; 

lot llu' w1ir«t Aiiiir In u bnic, linvo l'>nif 1 ii rdrtijcnl/otl. Ibit lb<- bi>:it ho aiiplitxl 

not prn>llt4« ItH bi-tiKr^ciiil ettwi by cliriiiir:illy rliaii);in|; the iitJircb, (lUt 

ptubably rmm wiaic pbymral n)t«intiiin whivli ii'iidcr* it i»vri> l^lT('PttVB iih i> ililiiMit. 

Tlif Mitri't of ilry hnal iipoii atiirth >« to pruilnvu ibniii-cH into >>i>lubl<- alurcb, tvtro- 

ithn, a(!tir«rw1i>\irin, and Bnnllyit Muall pi>r<.'''iitn;;i'<>i'dox1ro<«undiniilliHli!XtTiD.t 

1i«- liljcfa^r drxtriiia am innni anhibl<<. Starch ilnea ii»t bi>|iin t'l ditxrrinal« nnlU 

i')-' F. I* raarbM. bi»I tbi* litnipnratnm ■hiinid bo muintnlncd fur arvrral <Uya If 

rUi<ir> la any •inaittlty (i> tM< rlianiEixl. At bntwvrii im ' I'', nnd \W K. dfxlrlnuriun 

|w>y takv plai-n lit a tvti li«iir«. It in fvld^it tlinl #iii-li » hijj-h (riiipr't»tiir« vnu not 

llm niBin(dlii<iil by any iliioiivtir proiiua, IT put Jntrj iin (ivi<n lliu llunr will aouu be 

riicrbi'il ■•r biinii^d. An lud-rmtnig cipcnuicit wun iniwlv by Dr. I'^iluiitt npim bar- 

ry lli>ni Ibat bnil br><D linalnl lorn week lu Hn iiidinaty <loiibl(i bollrr. The Water In 

k« U(idi>i vrairl via* itlbmrd to bnil Tor a Week, wilb (bd rirrjition at n frwhoiliaill 

Riltbl, Ibi* ilrv Uonr In Ibo npprr vi-aui] bem)c llinai'Xp<»«<l lona bit:b n niiialant ti'Ui- 

vnitntn na jinulblo iinilpr lb" rlrrndiainno'H. An iinalyiki" of tbp iinlK-ntpd iiioal 

|talia.n friHii ilHiaaiii* hititut yii]lilrd twolbtrda luori' "iii^t iinil one'<|iMirleT luuro dnt- 

ilriu lliiin till' bi'ulcil ini'al. Tlui caii«« uftbii h tbitt tbu iltaatAiit, vhono rniidiuii it 

la Id mnvort ktarrfa into *iii{»r kiiil ilnxtrlit, In itartially parnlyxed \iy bmi. Ibo for- 




* llaaimafvU'i. LkJiplru^li 4l«r rii> •Iiit(icl4«1ivh Chpl■11^ 1^1 
rawbOMMiMtd Karl. Mn*|>r*lt'aCbraila. IU II. ItnniHrhwrls. >«■ 



1324 



PAN-AMKRICAS MEIiICAI, <:oXORESS. 




uent unilcirKOiUK tbia cbrnign m n1>aiit I7r>' I''. TUIr ni*lbiHl nf aclinic "poo th* 
, *tnreh wiu> iM^conlinitl.v nl>RiiiIuii<<il, ami ili» iivrrnBiiiy rliati)[4t «ll'i><'lt«l mtil.v anil 
i|Mick>j' l>v RinnnH nl'illiuklnHi-, tHriid'b Iri'iilinl nilb i1iu(iliii>i> i>i '■pM nii i|iii(ikly hilu 
tniillUM' :iiiil 'Ih^Iiiii, iiikI (lie louf-cr Um uvtioii in eoiitijiui'il lliv faiifbcr ili'ilriii will 
til- foriiiT'il, •lu'li HI iH'Un.i.rK'Xliiii HUil mnltWoitrlQ. Anirruniimliei of cx|>rTiuiiiTiu 
•nd aliulyoi's. I>r. ICilimrt •lcvi»nl a rni^ljit, fur ul>i>-1i I iiiii iiiilnlitiil la liiiii, nixl 
wliicli Una lipcii iint-il at tli<' liulilrsi' viirii*. «m»iHriiij;ur:i in i\ till'' of l>urlc> nr vrbi^ut 
Hoar iri^atril wii.li iliii>iiii>i'.' Ihi- teiii]i«ratiin.' nf ili);i'aii"ti lirtti): i»t;iiliil<>il b>* rb« 
addUiiiii lit liot uiiil I'ulil woIi^t iii iirujitfr prupnitioii. Tlii> I'uuiiiUtr ilMcriptiQii of 
tlie prwiun will bn fuiltiit in thu aoruiiipuiiyiii); piiiier. 



A FOOD l-OR INFANTS, WITH EXPERIMENTS, CHEMICAl. AND PHYSIO- 

IXMIICAL. 



hj ARXOLr KILUAIIT t>H I). 
tKrrHiraf llii Chtmlmt IMi-mttrM: .Vv Tori' I'vtl llmlKUIr ,l/rr>lral XrJkiolnuil lltpSM. 

Tbe eK]Ktimf>iitM hetv ili'Hi^rilwil w»r« iiilniiilttil l« tlirnw llgbt upon two piublvini^ 
Thti tint wufi tlio runiiutiiiii fruiii cow'* milk a( a ciiid resi'inblinu in lliirtic%ii tliftt 
from woniutrH milk. TLc impurliiurvnf tliin tK^i'mn rvidnit,! nuil rfli-linuiit 1 lij* 
nli'iM-ii tbat iiiuriiDciul digpotiDU tlio |ir»|ic>rtioi> "f peptuiin roniird wiw jcrtslfol 
irboii thn Piinl mm lenncitt. Mr rRciitMim-iiilH nil^iiiK •ow'* milk nitli Ibrrn-foiirtlM 
iln voliiiiHi i>r 0.2 pi^r CMit bydrixhtorii! n'iil in unli-i' !•■ n>ak<- Itin <uiMiiii Hko tlmt tif 
biimuuiiiilk. Miiiik, f biivinjc IrindSchi-tll"* procrwof klriillcitiriii (Imit.inglw I0&'' 
C. iiuder 3 uliuiHiplim'' prcKHiirp). ■tut^i dial milk no iii'iiUil cints in (1i« HtuiuBcli 
Itaelfm durkoliku womiiu's milk. nut in ■'umpni*tiii»ani<«liki.' iinliiiar.v run 'i milk. It 
MTnin anltknlr, bowevfrr. tbnl tbc» uic)li<idi niUruiiio inlu ftriioml utiti. Htid lli* ful- 
luwinji wotk him been coiiilii4id lo N«tin|: ililnnnl^ wbicb arc Drirtywlieio nvallnbl*. 
TlirrcHulLuf It |>n>ltmluai'y invrntiitiilloii w.iaxirpTUiiiic, dn It. ajipi-nml Iliit (lio llii*- 
ii«Bsu( Ibu ■■iird dfijiciulpd nniii' on lliu cnntlin)! af^inl ibnn »ri ttii'dilnmir iiiiin>] wiiti 
Ibc milk. TbuH. willi luimM, mi.vtiirv A ciirilli'il ilix-i Itiiin iiiivtiiii> It. whll« wi(b 
b)'itmr1il«rii' a<'id. 1 per vent, mixtntv Itciinllcil fiiicT limn uiixliin- A,| Ui-dcu lliu 
Uut-tiiliu it^pnrmii'Ut*. wbirli biivc- nomiiniiily lioi-u iiimlwl t« •li«w lbi>L-ner|itr van- 
una (111 I lit II tH, miiat ■>•' nbniiil»ii''il niid tbn itifanrit Htoluacb ItMilf Tt;M»l linroiimiltnl lo 
rfei'idi- wlist liiixtuir wtl] rnii11i> Itiical. in Ibat utoinnrb. Ar-'»ritii>Kl.v, tb« iiilltiimi 
to bp leRtnl wi-p" inlmliiiHtvtii'l Co inr'iili, ami iirinr n ■hurl liilrival witlidntwii l>)r 
nimiii of Ibc ((nnidtb pniiip. I am iuib-l>li>il li> l>r. ('bn)Mii f»r tlipupportiiuilj^ af 
Cult]rill|[ uiil tb«i'> trila in Iliu baliicn' wardH <if tbix biMpital, 

lit Ibo followuiK lublo 1 liavo umhI UKiiroi to iDdicAle d«giiAaaur finenoMiif eM, 
ealllBg IIh> Anaat cnrd 1: 



- Ualllna VM iho |irii]i»miaii tier* } irbUai ibadlaaUH. 

• KIbiibircr tnl llnhiir»i<r, hu«>vn, nlilnt lu Uh Hu* riinl of ilarlltinl mllh. Innim« H naV 
|i«i4 Uiit t]HUWf thtttn^U lb' ■>tl«iu «nil lliua tmunff omnpiiili* iltfvAiluS lUtflkarvi Zirtluu^ W. 1^ 

.'|-Ild(*r i-ArrMT. > .710 

', UralHhi- MiHl Wnrli.. I>«l. No. M, 

RMiilirrr A wm lulU ami <i«l>r. M; mlilim n him ntlk Hil liwlfv waMr, U. With a mlilnivar 
likfiiurl>li-rlr mill ■ml i>iii>H i)i« rnaolt bv iIh- Mnina villi ilii •cldBl»u<i. loivi^ i»m iliMalimn 
,-ufilled «ii« 101 f.o. . vtiri 4in>ll <|ii«q4llU4« Ib^I (« •hi>v Ih* (ttrtrrpufi* Ui lluffiufil 



I 



PAN-AMERICAN MEDICAL CONGRKSS. 



i32r> 




11^ 



li^ 55-Z 5a ^!2 5s 5 feiiJIi :4s4^ 

-? H - * ' « ' a ■ *7 ■ r» i ' ' * » ' H ■ : ■ 
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«»a4 9: 4 A V t^ IB e o — PI A * rfa V ^^ ea9 c 



PAX-AUERICAlf MEDICAL COXOBESS. 

11i«> (ilCtir" i, iciiliunliiiu rUv im) ■.-■ranipi'I'.'l ■uiiuitiiiiivoMuiiii.il witli lixilmchlnrie 
ai'iil |i),l |Hir cent), in itlwiil Iroiii tbu rwuni of iiUitiiiii'li viota. alUioiiKlt Ibo |wr- 
rruliif-p •/( sniil ill tli» sI'iiDiii'li, rulciiliit«il w. Iifilronhloric, HiiiiiPtiiiiM rinM ulmixit 
tuti.l pcrraut. Tbcdiluf C'liiiliiiiinii lo l>« ilmnii lVi>iii tliu xUiuiutih pijicrliiiMll* u 
Ibut tbacaitneiiPM of ciinl lnviirnM»> villi llii< piircciiluK'' <■'' "''id. Tliunlbc AueHt 
rilM (oatlvil t), wlilith nuionly miro iiMxtueil, OL-i'iirrctl v>'li>-iilIiiMi«iUltr vtaiiO,IMI)7 
|ior If lit; Ilif i:iinl ui>vl iii liiiuiitwi uociirruA iu 6 vium in wUii'li llf menu •ctillty 
wubO.OU:! [ler ■.■ml; wlieri'HM for ounl 3 (railiiM' ■.■uarw!) tlin ucliUty »vi>ni|tDil O.073 

]if>rceiil lEoeiili uf DoiUCIt). 

fill fur wn linvi: )r-(l <iut of account tlin illliiiMit imnt. If we arran)^ I be rmulta mi 
»■ tokliow thn iiiiiiibiT of tiuii-h n niwu ililiiittic tiriHliiODtl ii currl tit llio twcuiid or 
UiItU degnm of IIhi'ik-m. vc liml tlinr miriri-iivii rltil J uiivc. clot 3 fiiurtiiiin*; bnrlny 
water gave dot 'J llinic Ijiiu'r; ili^i^t.WD. uitli ur iriibont tcnulii, kmvp cIoI J twico, 
olut 3 four ttra<». Su fur tbc riMiilli ]irui'tiiiiii liurli-y wiiti^r tn jiroilmit lli« lliimt, 
luid n-iiter tlit> ciinnii»l niinl. Hut 'vlicn vc Ittkf iiitu u«i'iiiiiil tbo iii'ldity in tbeilif- 
, niioiit canes. wi> Oiiil it ti> HvcTiiKi' '■■ tbi> thri<« liarloy'Viiliir vx[>uriiii*ulB oulf (I.n03 
per «(>iil, uliilo in Ihu four wiilcr ■.■vpuriniiMit* it in (MITT, iitiil in tlio t'liai; of tli* 
■IJiwIiiiiB [iro|iurutioiis, wliicti ,vii?1<Ied oiintn nliuunt uh countc hb Ibv w-at«r itilitiirM, 
tbc uciililf in iiciirl.v nn high, tIk, O.OTI (itvetii8« of tlie i> raaua). nii> kiujiI ii-itiilU 
■tlipuiriitly due to tlin iMirley water niuf , tbi<[»for«!, \n: (liii> In reality t>i ii low |iur- 
(H>iitUj!>' of iM'Id. (Ill dm i>ib«r liiinil, fiirtbiTr cxjirTiiiiciil* iiiiky kIiow Ibiit batkjr 
irutrr ilhpircnusvfi Ibc \'ivr |»>ici>DtH)!;i' uf iicitl. 

Tli« iiilliiciiui' of tlic puucciitnitioii of till* cnrdling ai^il U null nccu iu tite fol- 
IdW'iiiti rx peri men I iciiulr willi all iiilult: A inixluru of MW r. v. niilh uilli MM) c. c 
»litor at blood bent win lukrii. Two iiiiiiut*« nllvrHurd 300r. c. vfcTi- piini|ivil iiill 
fixiiii tbi> iittimac)i : Ii luiiiiilcii lutur 4(.0 c. c. wuro tumovcd; i> miiiiilca lut>-i Uit> mt 
«u* ii-iiii'Vrd. Tlio Itnt jiortioii wu* cunllvd *o fini' tliat clone cianiiiintloii wan 
Iirpdnl Iu wv tli;iti it "ai HOI boni(i*f«iiixiii*. Thv *t>r<>iiil ]iurtli>il vi»(i lin«. linl 
CiMncr lliiiii licforc, Tlio tliitil jiortiuii ii>nHi*tcd I'f yclluw llijiild witb Rome ifaita 
Mann dota; tbc gaitric julic woauo luii^cr ditiiieil b.v escvstvl luilk. 

KXI-KUtMKNTS WITH CKKKAU. 

WbHtcvfT bo tbu ]>art playad tiy ba(l«y water In itia *l»ni3«l], tt haa mad* good ■ 
place in iiifntit fwiUiiji;. wbidb iiidieatn tlinl bviiclU i« itDriicil IVooi ita nan. Hut It 
•arniii )>r<ilialilc tlmt uuy biidIi liHiivlit i^ litrj^ly iioiitnili/.cd by Ibc {[teal pr»|H>rtlon 

t of ataTcti wbli-b nil ccrcala t'ontuin utid iihicti iboiufnnt eiDnmiiy ia ill ailnplvd 'j> 
dl|;aat. It ■■ true lliut iiirnnta' fuml iiiiif tm btinjihl in wliicb Ibn ttArch kaa baali 
dentrtuin-d by hmt; but tlivim oic oipruHlvr. Tbi> iibji'ft vr:i* ttivn ui darlae a 
luiiiaDliold prociun for propnrluj; at u minimnni ruat, and iriib iiiiilerinlK everyirbpre 
Bfallalilii, a didcatiblo food cniilHtaiai; witb (li« ulbniuinuid ci'iiNtiliiciilM uf tba 
grain, carlioliydiiiltw in a iiotutilc form ainl but lilUn tit tbe Inaulnblu Ntarcli. At 

.< tbc aauir I lino rii-i-a* of HiiKar wo* to bn avoidod. Tbia luHvMitutcd tli>' caornralon 
of the Htarcb into iluxtflii, or liito dnttiio nllh a niodrnUo p[iii>ortiun uf ninllOMi. 
Att'injita Ui doxtriuiiu tbc elHnh by beat aliuwud Ibiit tliU nirlliitil 1* iivt aitaptad 
for boiiMdiubt line. Itarlcy cakes lHik«d many lioim ;rlvldcd niily ZS.S fier ochl of 
Bolulilr iiiultrr. llQiika f'/.wii'hiieV") na botigbt were fniibrr baked, hut only IB 
per colli i-onbl bo inmln M^ilblo. To ruvilllate tbc dcxt<iliii>tioQ b,v pnividinit OS 
acid, burk>v i'iik<-« wm ntaitu wllb bolti-miilk uud well liaked, lint llic nidnblo mat- 
lei wan lb«i only 'J0,i)7 pnr mil. liiikkii nMiiMeDcil witb bott^rmilk and boknl at 
ISA ' (', yielded I8.IW per vcitt of toliililc iiiiitli>i. Tliriin niaiilbi iii'craaitalod a lomirt 
tttdiiMta>« ti9 Ibc ctiut-rrlinK Ofieiil. O'tiiitlituii biuiabawii tliat inalloarand dextrin 
are the only jimdacta of IIh lulioii of dinntwe on ittariih, >i>il that ttiu propartloii of 
mnltfwn t» dettrin il'p*iids on tikn lein pern turn. Tlila jirvfiorllaii ina;- he kept diiwn 
lunlnint IU piTri'ut b) cnipbiyiait a leinperatnic Jurt 1i«lo« tbal wliicb drauiiya 
|Jiedia*t«aeaod by »ti>)i|ilB|{ ibeactiou before IbcdiaaliiaeMiBvcrta the dextrin Aral 




PAS-AMERIOAN MEDICAL COKOBBSS. 



fomioit into inaltmi-V To »>l;uil tlic teuiiiernliirr. but nuil (w)<t waC<f nrre mixtd in 
VBi^ini; pr«i>oTtiiMiii. Tbc Iviiiiiciuluro of lli« li»t ivnter wua tlii> liighml wliicti I'lin 
tmattbiiied in tbo iuucr vummI iif ao (inljnarjr (tuubln boiU-.r iir tiiior duuiiii.'Wi) iron 
wbnn tlMiiBl<ir iu Ui« nnlor vcturl la ko|il boiling; thia tcniporaturR doo> not vary 
omcli with tli>> *ii« of tbc bnlliTT auil in nbniit 9\'-' ('. Tbn dl.-utiMo wn* albiwnl to 
Act «u gnie)« madn witb aUtn-b, wllb wlirat Hour, wicli barley iiioiil, nnd wltb oat- 
iNskJ. ' Tb« liiK-of itvUon, Ui» (|U:iiility I't wiiti-r, aoil tli« teui|<cntlurB {{irupurtion 
or hot Ut <«lil wwter) wen tniitil, and niun.> tli&u lu'cut; aualyntvi were lUHdf U> 
dHi-nnliie ibo iHoporttou uf nuliiblv tiiattvr sud lunltiici fonocil ineaclicuiw. At th<i 
rwult of thrao eipDriiuniilH n lucml i<iiii|ilc (irocviw wiw arrived at, hj wliich in any 
kltvbMi « oiirc*! food utay ho tii.Mln ronlaininn fhrcn-fniirlliM of tli9 Milid inalu>r In u 
•oIuUIp fofuj and iiariiix nuin' or Ini* miicur (iiialtiiiiiTj im dixired. 

For a iiwd cutitikiiiiiiK iili'nit nii<--llilnl al tbu M>liiJ matter lu tli* fonu »f luulloae, 
tile followini; T«^i)>*' may Ui> n"*il: 

Kreipt i.— Ilsti5iii>lti : Wlinii tloiir or bkrloy inMl.^ouiioea (3 bibleiipuourula b«u]icd 
Mlii|{lia»poMilitL>); waliir.5>Innn('m (ii ijnarl Mid llireofuurtba); extract of malt, 
balr a tnaapoDuful or ■ aiiutll tc:M|iooiiful. 

|*r(iri<i«: WilbSOoniioM (a miuuI i|nurl) of tlic wulvr niuki? tlio floiir inlou ktiioI, 
bolliiis 1(1 mioiilo* iu a doiiblv boiler. Take oat Ibc inner vciuvi and itdd tbi- nuil of 
tlir wnivr cold, tbo malt extract boin;; iliaaoliml in tlm laul li'Vr unnr«« addiul, I,rt 
it alaDil I't nliiiitra. Pnt ba^k tlio luniT vcmoI and ]|*«t ng*lu lu ilia duul>l» boftvt 
IK winntca. Strain Ilin>ii):li ii calti^i» •trainvr of wire gnnM. 

If Tor apjr mnBOo it U diwirablv, uud in ctsif* o( dinrrb<i->l, to )tlvu a «iiiMl1nr pro- 
tiortlun of multaac. \\u> fuDawint; rti-ijiu ii iixecl, and wc \trt a lixid cootalnln); onljl 
uuo-fmirtb of thn aalid iiialter in tbii form of maltoao: 

/^MUfv //.—Material* im !□ Itecipi I. Piooovd oaboforw, but rvtorva only I pint of 
tlie walor for addtiiji robl. AltiT itiiilln;; ibo o«liI watfT wltb thu malt uxUant itia- 
Bolveil in Ibu U-t f«tr <>i)iii-i-« of 11, tul i^«t»tl<I ouly 3 iniiiul<» iti«li>ail of )•% miuutos. 
Tbeii beat 10 luiuiilen in a double Witcr and Htraiu. Tu tuaku tlio grnel well and 
■lUli^kly, beat till- lluur with vnry littlv u'lilor. A litllc beatin;; vitb little water la 
l>rttrr Ibiui laiicb b<uitin|[ nllb inueb water, lliiat mnoiitb, tlioroforo, wbili- tbv 
pfMtv la atilJ aliuiHtt a denifb ; tbrn add eolil walrr to iiiakii a tliin paste, nuit l» tbis 
Mkl Ibv I'll of tli« Orrl |>ar( of lbi.> nalvr bollini; hot. wilb Htirriug. If tbtno ditvC' 
tiona arv fullownl. very few Iuiii|>« will remain on (hDntTiiiuer: in fuct, imly abont 3 
p-t uml i>r tbe uwal iMXMt bo luat in tbin way. Tbu water iu tbo outer vcturl of Ibe 
double Imiler innitl be kept boiling tliruui;boul. Whichever nwipe ia followed, tbo 
food (Jioiild bii laken mixed with iliilk. 

t)lji;t*i|on tmta: Vmltri* paribiit, tbn more of a footl la dIaMolveil in tbn ■(••iiiueb, 
lbs iiMiri* dii[ii*libl<i la that fuod i>ald to be. 'I'bnrt'fuTii If wn llixl in the Nio»iavti <-»ii- 
(■nlii. aflet Kii'ihi; uillk wltb tiialred fnoil, ii birjierpropurltouuf w>lnbleinalI<Ttbau 
when milk Ii givvu wilb iininalt^xl f^md (diiv altowaneu bcini; made for tbe lurfjer 
|<to|>orti<'D uf Hulnble nintter iii tlic malted fowl itaelf ;. Ilien we may u; Ibiit the 
Uiallei) niilliire U the mote digealilduuf tbe Iwii. Iii older to teat Ibis, exjietiluonU 
wwvmatle Willi Ibreo iufanla and the fcillawinj( mtnlta wore obtained: 

Kalia of (olabf* Is Jolsl mAUtr ia iWoiarA m«l«rala. 





TliM illflen-uei- ii n|>|itiii-iable (later manlta Indicate Ibat tbla waadiie to thealwirt 
tiaia albiwi'd for dici-atlMi, wUirh tievnr ancMiled a fen ininiit«a In tbe above caaea). 
A eoiB|uirlwn WM noil litado lictwcen the lw« fovda wlihont a^lmlxtun) of milk. 



PAN-AUERICAN MEDICAL CONQREBB. 

cew now followed Wfts thia : The atomoob of a healthy mitii was washed 

th lakewarm water — i. e., the wuhing was contiiiueil till the water from 

lach lan perfectly clear. Then a defiuite measDre of gruel containing a 

'eiffbt of aolid food waa drunk in five equal dranghtD with an interval of* 

letween each draught. After a certain time the stuRiHcti waa ofiain vom- 

raahed; the wasliings were made to a given volume. The total solid matter 

Itaaolved matter wore determined; the dilference gives the matter undis- 

Knperimonto were made with 3 men, all free from any disorder of tlie 

The food prepared with iliHstaae was given one diiy and the plaiu f[r"el 

Although the amount of either food disappearing iu a given time varied 

ahlf, the resulta were su flic iently coui^ordant to decide the i|UeBtiouat isane. 



PAS-IMERICAN MEDICAL CONGRESS. 



1329 



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frs>-.x>,&^a >-. 



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1330 



PAN-AMEUICAN MliDlCAL CONQBtSS. 



Ex|iuriiii*'iita I anil 3, which nure luufto nitliuut pivvtoiiit »niilihi|! nT tbr alpnucb 
(iKi f'lod bnvinjt Ijwii 1uk>-ii liix'C tlin iiljilit lw(iiri>;. ncron fiilrly wi-ll nliti lli<i i<lli»n, 
fliowiiiy (liut tlif •U|{<'-'>tivv |ii'i>c«*i> 1" lii'l miilrfiiil al'iioiiiinl liji jiivvluiiii w:i»1iiii]c, 
111 llii- v-ii'f of xibici't Nil, 1 llin iiiumiiit rtiiiiiil ill tli» ■{••tiinvli uiia cuLisiuiitl.v givaur 
ulii'ii Ux- illuilaiir vninoiiiil.tml; llii' |ii'ivi<iii;igf oT li-iiil lukvn wliirli una kit in Ibe 
Htiniiai'li nri<:( -10 HiliiiitcH li<-iiij|;. nitiiuiil iliuAliinu, SIJ.O'J; wilb ilisistaai), 'JS.'J. Tliin 
nii'iiiui Ibiil vt lUti pitrtn uf (vuH liikuu, 111) yj.iU. <ir tT.ll', weio DliiorliM] iii tlie onn 
nuK, mill lOi) -2ti.'.', or TO.N, jij llic otlirr; ■>« tliat nilh llio iliiislniui ncoily lulf lu 
nmrh uitulii wua iilimirliLsl lu irltlioiil il. Of Uic taUil mnttcr tniinil in tlie iil»iiiap|i 
nii>ri< tlinn tuioo »■ qiikIi wan foil ml t« bo iniillmnlvfiil vbnn UieillniliuiD uiuomllUid 
M wliPii It irnH iiKcil. 

Willi ADliJrrt No. '.' a xlxxfi-i lliiic (I'l iiiiiint*^) wiw ^Ivimi fur Otuu»li»ii iiixl no 
Uiiirkvil (liirVrx'Di-o uiijiKiiriil iicttiiH'ii Ibv two funitti; but wlicii tlio llni(> vt <Ii|:<«lkiii 
1TBH vxtunilcil Id 40 iiituiili-i' tint iiiitltpil (boil iLf^iu <it>9r<r(4^<l ita auiieriorit.v, lU« 
amount of Iliii iiunbiioi'Wd by tliu atiJiiini-'U bviiij; only oiio-lliinl the amount <>f plain 
fiiixl uualiAiirbiil. In tlip hiiho of aiil^eiil No. H tlii< dilFcTcbcc in flavor of Ibe iniillxd 
louil won iiiflili- luntiiriHl in 2.*i mjniiteii. In ovrry vuaii, tbLTefuro, di|;ivlii>n n-iia uian 
I npld ntUi tliiMiialti'il thiiii witb tlieiinniullirri iooA. flinnlbcpbyaiciloiilitHlxvlilvimi 
' ciiiinMii"' tbi- I lidiiilral (iTiileii(-o In fuvui iil' l.hit foinl |>rcacr)I>uil. Kliinllj', I'lliileiU 
CKIiriiiiic'iiIii wilb tbd (oliibld roiiil, iiinili' flviii'illiii: lo roi-liic Nii. I. hnvo jilt^iiiM 
giiod ri-»iill» a* uiiy i>>>Ltiiiii »f fcTilinu vniiilo.veil at tli« bnbic*' nnni* of (iio I'imi- 
fiTmliiikl* ll<Hiiltal. il* ilrliiiliKl III tliu ui'r»iii|iaiiyiiJE |ia|iur by llr. (.'l>:i|iiii. It la 
j(it<'iirlril t<i <<iit|'li.>) till- iii'illiuil ol* >|>i until uliv« •luinui'b wutliinic in (ilbi<r «SJi«a, aail 
amtiiK ailuj'lcil fur Ivniiiij; IhoiIh uiuI iligcHtiii- fi-riiinild in h^i'Ik-iaI. 

TblR I'ooii TAU be PHBily iiiiil tihi>n[ily |>rp|i.->ivd in uiiy lioiiti'liolii unit wbito llio 
■tATob i> ehnii),-oil lu muro Kolublc f-irm>, (Ikip !■ not an oxicon of aiignr, llortiin it 
1* miiii-clor to the rarioua lii-big's foudi. Tbn nnliiliix viilnt- cit Ilin ulbiimiiioiili. U 
likrwiiH'not lout nixlit of. Eitb^r liarl«y, wb'<ut, or uatniriil mii.v bi> ibiia tioalnl, 
tbn iiritidpn) difTcrrncd lii'tDx ilif' varyiUK proporiinnn of fiit ront-ainoil lu lb««o 
gfiilUH. AcoiirdliiK l<i l>i>'lTlrb na>l K->nl|Cr ">*' pi'Tiviilnjii «f fat in lu rolidwii: 
B*l1«y> S.OH; u'liuiit, l.r>r>, mid onia, (>.(K>. Tbin diiij bo lioriu< In mind in )ir<'«rribiDg 
for dUirhii-iu mid tli« viutona loriiia of Imlljicnttloii- Tbo vKtc\ of nmlt iijhiii milk ia 
W Ut\vr ita dixi-atlon niid anninillitlioii. i:niiii> m«iiiii>s, n Ueimitii mtlbotity on 
■nail. Iins funnd n fvnni^iil In tb« gvi'iiiinulc'd mml of vrli-liM. Iit>in)>. Ilii.x. unit bnrley, 
vrlijcb v«iy energvti<-«llir (onverlA fllurriioi iiilu ^rupi.- Mi^ur ami albiiuiiliollii anb- 
[.RWI1«M (Qbrioj into [itpluncn. It wua annrwatda found Ibiit diasluix) liiin u» Rvliiiu 
Ml nlbaiuiiioiiU 1 bitt pcpiad*.. nbit'h b> |^n«tn\li-il in KvriTiiniiting f^iiin at 1Im> 
na Umo and under the ■■hip i-oiidiliaaa oa diiLitiiHu nnd pnicticiilly tbi>y ciiii aiH 
^1m avpAntcd, acta upon pr»ti-idi tluirly ut low toiDperutiin*. Tbi* ■itlutiiurn !■ au 
i(U;ib>i:i)i> >i( ibf- Toffi'tabUi prati-ol) tic f«inioabi foiiiMl In pin«appl« Jniixi and llir 
Iii>|iaiw plikiit. 

Tbi- ui-tnil tTwtill'oblaiiii'il fioiii Iba ii>ii.> of foti^ tbiia prrjiaivd Iti Ilii> l>MMaw' ward* 
buvfi brcn good, cuimiilt'iiiiic ilic ■' I nx* of i.':i»w> tmitrd. Dnrlni* Mh.v, Juno, and eiuly 
Jnlf, 37 iiiriinis sirfTriiU): fmiti viirioim dcurt-o* of uiuilruiolmliiiul irrilBlion auil 
luduDimutiiui unil rrvfUi 1 l» ID iu»utbH old, weiv tbua fi^il- Svvcnlcca inuvnand 
■llfthll)' lo wisbt aflor a wm-k or lo. Ill lunt a tiltle in wi-iitht. and i ntnatiMial 
atnlloDary. Aiin wvll kiinwn.lbit looaof wrigbt in puitrw-inlailinalall'prtianailnriHK 
Infancy Uu*nally wril inarknl, and la oxr option ally rapid in hnnpitiil and InRtltutkiU 
Infanta. Su iiiitiDlni>l} ■nMvplitilr lun yinme inr.iiila to linapllnllinii Ibal Iticy Inva- 
riably loaa w«i(!bl aftrr a cvrlnin intcniil of timo, and will dii*()f iuauttJun nndor 
Miyayauni ol nrlitiviiil fvedlni; nnbtvi rMnovoil in anuiin. 

A iiaby udniiKnl Mny W, 1 nioulli ojil, baring Uad cOMvaUiona Worn RMtrv. 
Inu-Htliial Iniluuini. rxiimpliilii tbLs fiirt. rboncigbinBi* **^ r<i|iUI«rvd aa fuliowa: 
I.IU »i1iuI«nI>iU. li )in>iiidii 1 unuvr; MuT 3i, li puiindii .| uiiii*«»l .luno It. f> (lunitit* ft 

■ iMBi.'oa; ■l«au (I, ti pvuikda (f auuou*; JatM 9, (i pound* It uanuM; Juno 13, 6 piniuda II 



4 



I 




PAN-AMKKICAK MKUICAL CONOBESS. 



1331 



I 



oanriM; June l(i. S puuuiU luxl Ifl oiiiMtvi: illwliarcMl. Tlin r-tAim-lnloKhul Irtlla- 

(lau Hit I ••ill I'll mill lli« Intiy i\ii\ ncll an iU ■'•■■iil. I»il at tlio riiit iil' twu WrchH il 
■viisii (•■■liiiit ib>' cir«'t« of h<iH|>i tiki mil), iillliiiii);li ilirrv w^M iii> vuiiiitini; <>t other 
MK" "f li»ll-ccflliiHi, WIm-ii Htorilirml milk, iljliitnil [•■ ibv |>r»|i«r |)t>iiil iriili niitvr. 
liiiiPWUtoT. ur |>l»ln bnrle.v wntur, liiin bvcii avn\. llivtv ia aliiUMt iiiviiri"lrl>' ■ Rbiiuly 
will MhtW Unn of wuiKllL fTnln Ibi' rmt, :>o lliitl lli« i-Uii:ii£e Ha ufluii IiulCil ii|<UM luull- 
ilif[Ui' pr«|>MAti»ii cull iiul fnil l» bit i|,>riilirxiii|;. 

llT. JuiImb O. 8iiillh, Htlii> ia llii> ilinlrlct viiiUir Tur llie tioi|iitsI, xeeiiiK a errlAin 
niiiulHT of tits piiHv uAer iliKy hiivi' l<i"-u liUoliai-h'f^il, IctU me he lu* (ihuiI llie 
eilrwi't of malt l« iiu|>ti>iiixe milk iibmit oin' yi^ur, liolh for iiilVints umt mliillx. willi 
VCI7 ■■utixfiM'lotr n^'ill^ IIiiIiIm Irniii I iiimitlu lu 1 yrar >ili1. wlii-u Innliiii wi-i][li| 
Ml itlliit iiIi-iIhi.Iii III' I'luiliiii:, liiivr imiiilly unliinl IIcaIi iirid ltiiprii\'i>il ill vttiiy Viay 
Ml milk I'rriKiiv.l «1|U 11U1U. Iinv t;)bk'»]>iiiii)fiil of iiuilt l<>n>l*lt«l to n pliilof luilk, 

nlilrli U lu'Uli'il (ri'iii :^l In :tO uitnt nml llivti Itnuii-lit to tliv liiiiliii^ jiuiiit. Tlitt 

milk U tWii dllutinl nitb watri uocuiiliiig lu lb«iigu uf tbu liifiuil. 






TIIE I'H'iDlHrnoN OK (H)W« Mtl.K liESIONKD FOH ISKANT FKEDINQ. 

Hy UO'lir L. i;OlT. M. U,. «f Novarlt. ». J. 

tklanii) tit »bii«l t» (<onuliiila Uinl Ibe iir<-l<Uiil:il jiii|i<iritim iii milk, luKutbei' wtlli 
tlin •lol'crla ta iU iiiiUiU*i> vatiiiv, an> itiiiub)^ ihf (■rruliil ■■iiiiai'n uf il(>ulb in iiuui- 
kliid. Milk, an a fiioi], wviiin l»bo [n<li*poumil>l(> (u Ibo bninuii niri-, •niiiiljlii},'. wtlb 
waUr, Inilli meat nml tlrittk in ■.•.arly llfr. It in Ibotvfure of Ihu t;i«uteat iuijiuitulM'u 
tbiil we, na |>bynivi>(i> iui<l nMiiitui'jiiiL*. obuiibl enlitbliili a «lrkl oiirveiltjiiici' uwr lliu 
Buati-oi III ailpply. 'Htc |»-hl> itr<iu-iii;; uiil uf n iK-U'rl'nt^ fouil aiipply up|irAl wtlb 
■IHwUI fiiii'n tu lbi> pbyiki'l.tii iiii<), llirnii^ti bU irllukal obiorTatlMii*. atv iiannlly 
llrel >ipp(i:lii>iiili'il lijr liiui. Til" ^rciiit iiii)ii>r(jiniiT nf i>»w'* milk im iiti nrliclt'of r(M>il, 
Ita iiiilvrrul iiao lii nil {Mirioili of hiKillby lifr. ita ii(>iM<Mnt}' ii»i< in tlie aliik ixkiiu, 
its rajiiil ilttfitiituliiin ul nnlliiaiy IviupvratiiiOM. ira HhMIII}- Iq nbiorb, dcvnlnp, 
umt ourivi-j lb« iilalriiiil i'im»r* i>f illBi'nm. ■iiiiki' il iiii|i(<i'iaivi' cli»t llB |iti'iliirllnlt 
am) its mIk In iiibjr^l to t.li« riiiMt tnttifiil sei'iitiii)', itiitt tliiil mviuiiirfq bo iidnpitMl 
•tbrt^by iiuallliiHl pi-n«ii>* ^hiill eiil'iirr-.j u pi'iijirr cavt' uf Ilio Hiiiiiiiitn, prevnit 
uiMMIiitar)' ■iirfniiiiiliiiic*, tlid grtw nv^ik-^l uf i-lrniiliiism, auil tlin fnimlii1<Mil prao- 
Uooa Mhiali, In iiiauy limtnui'i'K. nhurni'loHitc ita proiliii'tlnn. 

If pbyHirlaiM muFo lUfiri- iiriirnill.v inforiiivil Ri>Ti<.'nrnliij( tU<' iimul for raixHrlvil 
aullail In tbH Maltvr, we brlinve ii wiiulil not bu linii; bofi>r<> tbo imw fulal nwiill* lo 
ma* IVuin lai|i<irt>, liilWlui), ami Oefvi'llvv i-hw'k milk wuiilil be i;r»at]y Uiiiilud; untl 
tliv iiMKlalitj' frmii tiibTi'tiliisia, au Innioly tins t>i unr ntmui-iallMi witb tli« buviuo 
•IHichsi anil Uir r*arriil luruc uiiiiiai; iiifuiiti woulil bo uamiroil wilblu buiuida 
wbldi wunlil uat ilrike lurnir to I'Uv lii-.irkt. 

In Ibr pfwiit aliilii of ufljiini II luu tiftmiHi ii(>o«uaty tbut the meiliitiil pinfnulou 
abiMilil ■■■•"tI lu nrttco ui«**iin« lii prolvi't thfiir iiwn iiitvivat* iiml tltoxn uf ili<>lr 
jMlli-tila aB"b»t tli>- Li>Tilu <■( iIhiic''* " bifili iiiniant tliu llfo of unr riii'i' tbmiijtb tbi* 
uiw pt(Klm-l iibiitK, Tllla k* I'l iilmit iii tbi' l.'iiit<>il lit'iln' lit li-iul, fpiiii tliii larl tbal 
Ibr taiiti'r ami mure piiwrtfiil miuiiicirial liitviiwtH arc *a iil<iM<ly tiutiml i]p with Ibn 
|,U(Ki,OW iliilr) l^niH<iii, Ibn^'fuiirlh* of Htiniii iiiiilrlliiiti' miiiii^lbkiii! Ii> uiir intlk 
•iipply. 'riiat a •'fry rDillrtl rpfonii in iiovilint in t)ii> iirriilii(>liiiTi uf «■»'• milk in 
rMiretlard by all wlio. by llivir i-liiiiciit vxpi-rieiivu, buw li««>ii ubli^'nl 1« aolve Ibu 
|inibl(ilu uf arlllliilnl liifiinl fpnliTi^, Tbix \* ttUu Rbuwn by a ranfiil atiitly uf Iba 
■iiiTTlalit/ nb'a fitmi iiiiiimik vbtlilti-n iiiiilei I yac uf aj-p, 11 VKiy lurgn pn>porliot) 
(if wbiNii dill uf nulhtluuul lUtunlct*, d)n>iiitf Itwonlito lo anwbiilcaumn aiilk. 
Wban It la iriifialilBti-il tJiiit tliia infant mortality (xHnpriai'a iilmut !in pvr i-ant of that 
oMIurlliK !■ all a4[ra asd fri>iii all caiiM)*, wo oaB iKit i<<i<ni>a llic ounctastuD iliat Iba 




1332 



PAS-AMKKICAS MEDICAL COSOHESS. 



meill««l |>rafi>«Hl«n, ami wiwiiiillf tliuxo tvliu iiir M|iii|>|><Ml tot tlio nnrfniv, Uara «ii 
liii|iorUiiit duly to iicrfunn. Wen- it imt tlmi tlm furnuo'iiK "i** ' ■uOlciwit rwMD 
fi>i mull 111 li><K A cliiiiiKi' in tUlry iimtUoda, llio fiut tlint udw'n iiitlk in m icvuomIIj' 
~ «mpl<i)'<Hl fur i'tiiii''j>l iiiirjiutiw wniiltl ikiii|il,r Jii»Ul> «iidi a utiiirnD. I'liyskiaH* vnty 
totWri full to Nuuiirv iliuirml rt<»iilt* iii tlit-ir work Iu'v^iido iif liiii>uvetl«hoil milk; It 1« 
t)ii*r«ritn< nil Ivnn an iuijiiirUiit iiipilii'^l fvnlim uf tliu Hiilijni't Il»t m> UriiO & iirojiur- 
timi uf tlioae umU-r oiir I'lirc iiidnt be fill ujiuii tbia UTtic1« ulous. 

Tlie anneal iiijiirimu prarckn wUii-'U iiro oummuii ut tli« ilntry me ver>' nnaiai- 

viiH mill urn fitiiiiil »l «v<iry ^uip of the [irailiictiDii frum tlin brueiJmK of llie aiiiiii«l 

t'] (Li! di-Ucrry of thn jirnihint. Chifif uidoiik tliniii nrn tlxixi pcrtaiuiiitt lo (lin 

b'liininu luiil r.aro uf tlif luilnutlx, tlia fiii'illnK vf tliu miiin-, Ilie ultmliHci malliiiiU uf 

ci>ll<-oliiiK. liniiillin^. nml i-unllii^ llio milk, tufiolhor witli liin total ilUrwganl of lU 

(IdlrntH iiatiin.> in li'iiiiHii»rutluii. It i* illlUiMilt t>i uiiili>ri<t4tiil wliy tlin italrj oov, 

wliicli U «u iiiiivomally Hini>Iv>'Oil fot liniiiaii Fuwl, Hliuuld r*M>ii'» rclaliroly so titlla 

CMBwlioii (itli«r (loiiiiwtiu niiiiuula iiruau ctiiiliuiiHly gutiiliH), It Is « |iractle« m 

Fnra a* to bereiiiurkublv tliat tbo luilHi cvw U lioii«u<l kuil kfl|>t juiponirortulily or 

' gmuninl anil iile>neil lu rBrefi^lly lut iixa liome. As to tbe ftMHllii^-, tli« oow, lbs 

uiusi valitalilu iloiiiciitU'Atud uuiniul fium nil oconuinic puiui i>f vU'w, U Uie <iaij 

one Ilia I IB fud on rofii» mnlorinla. TIm* injiiriima uid fat*! caii««qiieiic«t uf Ibia 

nuivtirnul ciMtoiu nra too apjiureiit lo re'iiiim (lommuDt; aud to tltoau nhu otl- uot 

Auniliiir with tiio fiwito tlio pr^rnlniioo of thMo oriU in aatoriUbitig wbeii irniniry U 

nndc. An tu tUo fixpodlenta fdMiiWit to by Ihon) wli« for <i<>miDoroii>l ondu wuiild 

ulltlr.o tlin wutn hyproiliict*, tintbliic tou *lro(i|t chu be aitid iii condom imU mi «f 

tbdir iiiolUiiilii, ]ly IW tlio miisl primmiuiit «ub*laiieu of a. (gnMittunAMd cUorui tvr 

L vtoi for fnoiliiig i-ow* tO'day, faptinUlly noitr ritlan, la bnwrn' uraiuo, knuwii na 

' boor or al« xnle*. TImk nra )irul>ubly f«ur dalryiuoii bvu Uiko citi(<a wlm do not 

unci it to tome ektoiit. It ia •iipiiMwl l» itirr«M« iba flow of milk, wliicfa It duta by 

Kii;iEni«allajD; tlia bulk of thu output about 30 percent, 'tlio iiont la aiuull, Iwiiij^ in 

kiiiiiiii«r about (3 a loii, und uti Ibis sctuuiit it is empluyud. It i« iritt wbeli aolil, 

ouiititiiia HOpiM c«iit of mointiiru, eiuily iiudcrt'ocB putrefautive renm^tilutioii. aud i> 

irflcuK'^'ti to the CO wa in tbia condition. Tb« original TO per ceut of atarcJi oiid 

dextrin hna broti roinoTod froiu tbo barley in the mnltiiif; pi<ice», ItariuK notbing 

of n itntritlvo raluc but 10 percent of pmUidi (tlie gluten) toj-etlior with tlioealIu> 

loan. 'I'bn oD'rcta of tlila dial are to Impair tbo digiMtliia of the anlnml, lower bor 

nutiltlon, and probnbly lo randor bor nii oaay prey- to tuberole. Oii thn milk tlia 

ofl'i'ct la a pioiluot wblcb hna poor kiirplnic iiiialltlm and wh»n It la naod in larj;* 

(|iinntit>i« itiat<iri«lly allwa lla cini*litiill<iii. We nm convinrod thai our failiiri-a 

. vilb thia nulk III Infant fo«dlii): wo duo to ttie rapid clunicu* wblch utii fur ml}' occur 

L til it aud nbiob are probikbly due to Lbe uuttablecbuncter of tbu lata which lloun- 

laiiia. TtieMi Totiilitc fatty princijiloa, being eaaily broken up in tha nllnienlufy 

otUial of tbo cliUd, liberaiF the f'tly ii«ida vbiob act oa iiriliints. TlMireia no dearth 

i>f aiiitablo feed and fodder for the mil«h o«w and a ayiiUieliDiil mixture tiiiule of 

waale material* ta not oalcutnted to itpp««l to the otdiuuiy idcoa of MirrectniMa 

I Mid ia rortiiinly not pomiiatihlc when the object la the production of food doaignwl 

' Ibr Uin niont delicate hiinun nrcaaiuu. 

I'byalciao* can not afford to inako eiiacoatinna in thnae mattcrai that which Iboy 

r«qntio can not be )[*inoil in tbia way; any Indorienieiit of tha um of waata 

byprodn«tafarr««iauauf ociMioini<i»lMpcdl«uay, avon whati modified, would be in l«- 

oo4iatrnad by mlllc prodituun nnd liiterpraleil to palllaia tJiali naa in an; eoiiditlira. 

I Bolwcan pnuliictloii anil tiaa«poitati»n a bo«t of erila bava mUmi; yet node are 

[ nnr* flaicrant t)f«i) tba nei^Ieci of Uieaa eutnmlMionad to giiani tbia alMnijiortMit 

italiyprudnniat ourdoor, 'rbainilkinapootor, witb hia local board nf li<>*lth behind 

bin, are Ml. w« think. elBcient. With all their mitacratle puwen tli«y do httla to 

\ iMprovetbe milk anpply in large citiee. While tboaeonoen are faanilicappoil by tba 

Itiok of » proper State anperviaiunattba aourcaaof aupplj, yet iboy ooutd act a •alter 





MEDICAL CON'fiRKSS. 



1333 



lla tiilul HilliU. llilk iiiiwl bnponr in tUn ostrnniii. In njipMraiiPO, kra^iliii; iiunlitiM, 
anil nutTillv* Tnl'tcn to lio <]niirnntliiv>il by tlip lniiii>i:t«r in our plllfji. IiiiWd, a 
larfo pari of tlio iitllk ii-iir rni^elTixI |i:vuoii vLdiouI (|iinitl(iii tli<> hlookndo of Umi 
lural <iRi««r liiiJ yot It la |H»>ltlv«Iy iiiiiit for Uic illrt n( tli« iufikiil. 

Kor iiii«x|ilaiiiHil ru.iMtiH, iti« artvaiir? iu rivillmiltun Iiim l>«m ruliiriilimt with tli« 
Ikiliiro uf tliv tace to uouriiili ila jruanj*. ami lu-iliiy UTtiliuial ftwiliii;; fanx bccuiiic uii 
imi>nflanl fW'toi in Ibe «nrk of Ilia uliniriiiii. Whvn we ivuivTiiWr tliut an infnot 
caiiBiiniCN<ln(iiig ita Hnt y«ar about &D0 qnurU or milk, and tliat it ieqmr«ii bnl % 
■lljtht variatkia in tlitt (Condition* »r niilk t« detormjae mitny of tho ffttal iIj*pii«m 
InrkiUul to I hi* pptloit, not only am ellnknl fttandniTlo«i«(iiilia1, init a dlrnnt mIs- 
lioti U mUUIIoIiwI iMitironn thacliniaclcrnf till' rnodiiiid infant mortality. HItJiatta 
ItHrtf bHVe bluett no unirurin etinipal r«iinir«m«iitsof vaw's milk fruin lh» «t nnd point 
of infnut feiilin]-. Pbyakiiiiiii httr« b«Mi too luuob oeciipivd tliroiif;!) tli« lltentura 

[Ibc inaniifiioliiritif; vvuiler wttli [itublvDiti of dcxlrotw. innltoip, saucliaroHU, Rncmi- 
^•t sliiii'h, vi^i;ctDbIo fal, and ilitint«];nilcd milk fut to givu m'rioua utioiiliun to 
nwre ntlonal mothodi. 

If w6 wouhl obtain iiniform Tcnilt* lu th« nutrition of th« yonnn, eortitln noniti- 
tinua iif potit)' In milk arc dniiandnd and mint bn niiiiiitnincd wir.hont vntintion. 
It I* wrll, llirTi<f»in. lliat un shoiitd c-oiikiiIit our iidi'iIh iu tonchiuj; thin bania for 
TSIIimsl itifaut fiwrilnit, i-iiici' It in n inMur wLkb »nVct«nnT IntcnuitA.it %i) many 
TiLal poinia, W» ni« on tli» tliivwli<il<1 i-f arvvdiitlonhi tnfiintr«od(DK..ind wliitcfor 
Miv«nil j**n the mauiirautiiriTiiof attillrial hifaiit food bniv Imn t'n^god In vfTiirta 
tohaanwiiite raiiom vlctuputii of Ibc luwsrlchigdoimi, thv pmfFHHion barebevii ohiolly 
oocnplnl in trying to baruionJM all Ibo diiminlant vien-* nrislng from Uie botile of 
Irrnllnnnl iiMlbiKU Ihnl bav« tbiu fancn foUtcd upon our nttrntion. TliiHat«l«of 
Uilnc* ia fortniiatpty bolnc eliauffrd. More rulioiml nnil ncicntiflc^ inignirtM atv now 
hi t>ro);r*ui: ■» tbat to-day Iliniw wlio have fullnwrd tho more rrrnnt irnrknni in Uiia 
Hold niid liavp aibyjitfil tli« r««<illit u( tliclf laborlona work 1iavr> l-i'nii amply rnpntd. 
In unlcr t» fnllill (lie iirrdit iif Infani^y and rblldliond in lli» |tTi<Hcnt statAof onr 
knovl'-difc, three nundtEii^im of ptitlly in rovr'M inii«t li(i iiufulliN);. 

Fir4f mjairtmetl. — Abaencp orminmiir^atiiiiLin in milki «i)ipi.'liil]y of tbo pnihu|;i>nie 
varlHli*. Tliin may l« fiinily necomiiliiliod no fur aa diifafo-producinu barl*ria arc 
(vmrxriml, bnl carui'fciw milk bii« nuvcr yrt bi-on inado priK'ti cable. Wlien II in 
bri>tis;bl abmil It wilt lio UitoAHlin rRfnriu Ju tli« nol loci i ion and biLndlinKaf milk, nod 
■ 111 lniloJKn"t only tbcpi-noiial I'lpaTillaiuioflhoao wbcidinw it, ImtaRrnpiiloiiii rare 

) «t«rl1l>lng all iil4<ii>l|it and Riilbci>nlaln«i*,tni;»tlii>r wltli nnalmoaphcro muloclrati 
rftvoini; It f>»«ii tbn doat dorlvcil fh>m tlio animal or h»r lininwIlAto ■iiironndln;[4. 
ouTi-nnitiiii* are foiinil lit all milk aft^r It i* ilravn. Ovnr forty varlriii'x bavn 
iwilatnl friicn a nlni-lp *peclmuu uf oIb«irwi«i> nximnl milk. Tbi^y arc ncvvr 
prrwnt in thv iidd«r pxnrpt an found wbun Ihe aniiiinl is iliip.iivi). Tbuivforo Ibvjr 
bavu Uieit oritti" in niilaidv aonrF^ nani«ly : Tho band* of lbs nillkrr, tlio ndili'm of 
lliii row, lli« iliitt front bay or straw nnitnr tb« Bnimal'a feel, tlie lofl luid cviling 
hlMve, fhioi Ibo air which la ponatoiitljr In inutivn, and tho dirt left in improperly 
tlaaaad Milk contaliumi. TTiean Imoteria could not have a mors favonible m>diiim 
tat tiMir growth and mnllipllcalion Iban fiocb milk. Tho fotiili'.ionii of wnrmth, 
niolalBN, and un aninul Hort'Iliia combinn to lUvor tliiir dnToIotniii'nt. AIonE with 
Ilia polwinmiit plmiialllM llicy aro eap^tbln of proiliinlii);, (Iipmi barlrrln nrn. by tbrjr 
praiMinca and ^owlh, II;^ r*ii^ of lli<- 1 arloiih fnria«nliilinti« which orpiir in nillk. 
Ordinary Pow'a milk of fair l(t«pin; rgiialitin rontaln* abnnl 4,000 b:i''l<'rla hi a half 
milin>Bl«r; orilinnry aturv milk from caoa lias I>mi» found to coutalii from 
I and upwani Is Ibe midb aiDonnl of lliilit. It will be a gn-at acbievrmcut if 
Uiiwi ran be eliniinuted from the milk and we ran obtain Ibnt wbicb will keep 
witboal axtrifirdinBry cure. 8nretf infunt inorinlily nnut Ibereby bo materially 
dMVWHML P»tliog«ni« b*clrrU an «n«n convoyed Ibroiicb lb« mwlinm of milk 



beni 




1X11 



PAX-AMF.KICAN MKDICAI. COSOHRSA 



niid It ia prnbttMy ttu« llmt no n^*iit i-nrrlM n sn-ntrT varkljr. Im tlih wajr tubar- 
ciiIohU Uapiyitiil anil lliu«xti<ii(of Uir bitvcwi villi III'^ t'l'<>m IliUnniiit^n wlllpmtinbly 
iii-vcr lio kiioun. Tbli pailiciilitr thitii;i'r ivuiiimti* K<<'=t<0'' tiinsiiit<i<l« w>i*ti m 
rmuciiilinr tlint pmlMilily 30 (lor «enl of tiK itniijr livrilt in lliiit ('(imitrf Iiiivh <ioe nr 
more tiilinrciUoiia CDwb nmoiiK ili<-iii. Il i* liki'itiso (-IimfIt lutiililiHliuil Itiitt Marlii- 
tliin, •llplillxi-rla, nnil tyi>lioiil iV-ior urc Un.uglit frmn prniuiia who. i-ilb«r rucovftiltf; 
riMii till iliwiiu'i (IT nu'triulo'l with it, iiri- at Ibc amnv Uiiie «uj;ui;«1 in bittiilliiiji 
milk, or frnni iintlil^ niilkniiiitU w)i», bitRci-'o llic luilkiiiKv mv Mitvuduiita cm 
|iM«oii* HicU »r tlincn ilUi'iMn wliiln tbny nrn pn^valnut. 

.^imiuiJ rf'/iiiiriiirN'. ^A conklmil miil iinvnr.vinu n'liUriiiiiM! To ■'hiiiinn iliiiiDK tlivflnt 
»ixl,v liiiiiTB Hdpr il U ilr.iwii. TKi' i'Iiaiium ocr iirtiiiK Iti •■ow'* nitlk nti> ilnlrrminfd 
liy coiiililiuiis Hiiriiii<ii>liu); lh<- rolli'i'tliin. Iiaii>111ii){. molitiK, niiil r^rti of lli> milk at 
tlip iliiir; furm. anil triiilr \\iv liiplic f'vniH'iilAlioi] ran not lin Imii; ilpluyiKl. nvuu by 
Uii^ grruli!"! cure, jet it i» H n'miiut f>r(>|>i'r piiii'tiiilimi Uint liitiijc" nlninl tliM" pnily 
DlmnKiuk. Tli« oiimial tvnijii-'iiitiiri* i<f lltu rnw, ftuil lhr<Tul'i>n> uf l'ruiili*ilruwu milk. i« 
Almnt 100-' V. To :ii*iiru ila kei^giiiiK >|iiulill«( i» In preiviMit ibo Ktowlli uf biwUtJn. 
Till" I" bent Ilo1l(^ by quickly r«liiriii),' It" tvDIJierolillV witll \tr to nboiit Vr~ F. nii<l 

lunludiliiiiii; It lit till* point until aw<i. Than irenUiil in eleau vimmiO*. milk «ill 
kpnp wivdi.il ilavit. MovmdI •uiiiijIm uf onlinniy iiu{ii.-rior milk tiibmitttxl by myiu'ir 
tn rn>f. Albeit K. I.<i'tbt, fh, !>., n-nn- ki^pt by liim In bin luburatiir^ infrii^ittlor fur 
cleVMi itii.VM wllbotit rli9hii|{r. Ilin liriiiprrtiliari' of ttic rlieiit tMn||in|i from 11 1 ' tuM*^ H. 
WbiT* «*tll-wiil4'i ixil.vlmiviilliililp fiivp'i.iliiiK |iiiipiiMiH. tli0 nbDvoroiiilitloiiai^aunot 
be bruiisbl ubuiil. tiiirr KKll-waliT 1i:miiii avi>rjit;i> luiiitmrntiiTi' mil oliuvr l»' K, aliil 
nith it milk CUD not bo rvilticnl iiikI iiiiiiiituiiitiil bobiw 51 K. Tli*> rmiliiiK nf milk 
iniitiiilititcly Bfter It In ilniwti ii prubiibly tUu iiioal uni(}i«iil iiitmn* kiion u tor r«t«rd> 
Idk It* fvTinPDtiitioiii. imil it fiillou's iliut Hlim culil iirufciitn tlie nrnwlb aod Iba 
ncllrlly uf biicloriii, tl]e<«t'li6T tha rooHiig ia*n'«<iti.-d tholonRrrtliA milk wlllrotnaln 
wItUniit <-b:iii|[«>. 

niivl miiiimnr«t,~-A ii'iiiilnni nuil iiiivaryiii)i iiiilrltive r&liin of known rniupoM- 
tioii. Tbis viin duiiblliMA >■(• r<'ali<«il tlir»ii):li an itili.-lll]k'">il ffwliii): iif the iiiiiaial, 
biiavil iipim vlivDiiirn) mHurcliMi. ■.'oiKliiclod wilb a viuw tu uii luijiiit'iietil brtnrccM 
Iilmlii, Ibrir fitdltic aiul tbi! proiliipl riiiiiiinl. The diet of tlia Diil»b ««w in ita 
ImaHuK upon Ibo roiiiLlitntion of lirr niilk biin bivii ■tiuliml «lii«lly vltli riiriir«-iirti l« 
|i(lw iTonoiiilfal ai'b' of ilnity fiirmiuu. At iLKrli'iiItiinil i^tpi'tinii-ut ■diUiitia tli* 
■sm«Clii linvn bi'^ii lo df>ti'rmiiii> Dm coul «f rowl*. I.llttn hiia bi-i-ii ibuiv nith rafor- 
tTfrlliT lu lb<- vlTui'li of v:irii>ii« fiiiiil« upon llio nliluiiilu niitrltlir viil<ii4 of Ibii liillW. 
Tli'it ilii« itll<<iilbiii niiial bi' pniil by tbi< frnilir In llii' piiriti-iiliit piirpooo for wliirli 
ibo rooti aril kojit in cDiii'i'dud bj oil wli" uf Imnilinr »itb tile mibjcrt. TbnH r«r 

1>iilt>r. far I'livi'Mv, I'l fur iiifHiil rvt'illiit: •> xpciiid uutl a iruto .vlJii«1intinti>rnitiog- 

niuila iinlnlfliii'OH uiid lb<> larbob) ilmli'M miiHI be obu-rvird nilb ii-fMi>iiiMi to the 
priidiiPt luijiiirvd. T]ii» in wDompli»lii-il liy a piupct uilniixinro of k""**- buy, fad> 
der f'uni. &nd rurinii* Inborn wilb wlid I'Vrpul (.■niinn of iliMnrnut kiudo Kionnd liitn 
ni'.il. TliF rUnipuiid tixlmnativo foinlii iiuliI ko liircrt.v to inctviuo Ibn mllkiii|crApiic~ 
Ity oftho fair do noi ovi-n itpjimiLiTiiiilrly fUlAll lb<''T rDi|iilrFiiiriilii. • 

Tbi- inoiil varl.iblii Riitiiititiir'iiia i>f milk nr* tlio fnis. 'Hio unfiar anil albniniiKiiil* 
ar« ibv iiitwi omintiiiit riMiirtila of iM rMiipu^tiaii, lo Ibiil in liiukliij; for iUaiter«iM 
UioilllkatioiM hi milk nlivtTiihbi iruiilil do Well tn ciiimlne iniiri' clodsly Into lb* 
nutilTa (if fla fully (■oinpinimt*. iMipwially the volatile priiicipkii u-blrh ■■> ooally 
iiiii1iiT|;<i flliAU||:<>a. Alihoni;b the Hn);»r and luinvnl itiilla arr 'init* nniform In all 
milk*, lli4*n<iBn)BiD|{ «oriiiii solid known lu laiwlu ninj in dlH'cmil )ir><ndii vary 
a* uHii'b M :!( |H>r irctil. n'birb wonld u-rioiialy aiTn-l II* valno In inr»iil f««d- 
liilt. 'I1ir bl](b |iricnMlJi;ic <•( n I bum I niid ■ but biwn Ibo rUief •ilntui'li' in ibr 
way of II iiioti' emrral nv nf r-in'n milk tn frmllnic. TIk> inrlboiU in voj-im for 
dlbilinjc II Id ordnr l<> nxikn il r>onn><|>ond la iniDiiiii'* milk arc nMuowbat ilinnalt 
tr1i«ii lhi.«ii i>UiiiM<iitM aiw liigliTT lliaii I per M>nL II kmiim, Ihetwran, tlist nay 



I 



I 




pan-amekican mkdicai, congress. 



1335 



■ eriM 

m 



iwillioil Ihnl iinimtwa to tniiiiitnin (1i« liil and Nii){nr iwrceulUKB. nnd yet mtuite llio 
fliuiilii. U ■l«^irul■ll' wlioii iIk< milk Ik to li? iiwl for infatil TdcdiiiK- Tbn wriU-r liM 
hiul no a|i|Hir)iiiiil,v of •loiucinilrntinic tlio utility of it mrilioit wUI<'li we rnmiiiniil 
to yniir ttrrtul nllrulioii. Tlx.' iyi|<orli.il iiniilyni* o( milk from Itie Weil* imiially 
<im|>la}i«l •lisH- tlvo alliiiKiiiiiiliU In Im iinlfumil)' in tin- pi'iiixirdloii n( fiom t lo I> 
iwr rHit. )ly mAktnjc u rumliliiatKiii »f n llii>rutit;lil'ii>il .Ii-rM'y, a i1inr»iiKlibml 

Il4il*li'lii. mill t«>a romtoon Atiiorli'itii criultiii, (lii> litiit uiviti;: Ilk rirli in Tot., tlie 

■<7«<iiul ■ niitk rlph lit ■njtiir, ^nil fi-ivilini: tin- iiiiii>i:iU iritli ii v'u've ti> tuiiiiiNi tlie 
alliniMiiKiiils v*^ otitAiii h rtviilt wlii-n (lie tiijlk is mixMl wlikli nc liull«ve la lii? 
rsloaki'. llic liilkiwiu); niial>»i« nimlt' Tor iIip ivriter by Praf. Albert K. I.«cil* 
»)iowv tlint tiie vmiibiiiBlion in lliii iiuluiii'e tih1iicl>i1 tlic nllintnjni>tdii to S.SU. while 
Ifan fat niHl ntj^rareniaintuiiKKl nl n nomiiil litKb ■tAOiluTtl. A |[na<l fi-iitarvuf Ibta 
milk U llmt It np^troxiinatCH ninri' elunol; to VKimuii'aniilk iii iUralnr, It* t«l4ili>oli(1*, 
ita l**t«, Bitil llA Toiii-lion, whlrli 1* iiniitrul. 'J'bii rtwiilf uf tbo nii|U'rliiii-iit nro 
uVrriHl tk* B IxMtii for fnliint iibin'cviilioii^iiiiilaUa luiicjcniitlvo »f :> iivulblo iiii']ti)a of 
MciirliiK Oil kIoiiI milk fur liiraut f<'n|iiiK, TIio utialytlH im iiimIc of '.M Hiiiii|>kH. niib- 
iiillteit Ml Jiiiw T, W3, wait an I'oUnws: Color, wliito; miivII, ■W(>i-t; liint^, nueet; 
mu-lliiti, iM-iiirnl; *]>ui-illi- ;;rAviLy. l.KIO, Wali.% )<lt.l4l [ii-r I'uiil; t»tiil Hutiila, 13.12 
]i4>r r«iit: fat, 4,9:1 iwrwiiti aii)pir, tJiper oeiil; albuminofiU, S.% !« S.Gl) prroent; 
»«k. 0,TI t^vr r«iil. 

■■M.'i'kiiii-n iwiitptljr for iliu illftlciiIlifM wliirb »irro(iit<1 tli«iiil)li ii»p|<ly.(ui|>ocwlly 
In Urur cllim. wn llnil Hint ll mrmt lin within tliiw: J■••l»lllll^ llnm nf nrXina. 

IjfitlatUm.—'niU la a riiiiiui.m rbaiiiiol tbroiiKli wlilvli !■> npiw-il l"r ivfonn*: willi 
Ibn (iiMntli'D Wfirri' ua, liovrcvvr. (int i-lTnrlx liiivi- hllbi'rl" tiui<ii iiiiikiHIIIiii;. I^j;"' 
riiDi'tiiianl* wilt t>i>t uD'oril ii» tb« iioihIimI rrbft, mtwp l)ii>tr |>iiniiix« liavo «o otlrn 
ruaiillnl in Ikitlf brtiii; niiibiillitcd in tlie htutiilo biiiiKit. TliMc l»n-a nunli] b« bhQI- 
fIdhI If lli<>y viiitr itiliiiiiiiiiti'riMi; but llint tbpy nm nut uOvctiLal In B|>i>i>n>iit Ui all. 
CHir IpuiHlailve butlteaaeoitt licJpliMi w)tvn llwlf «liet«iu tuiwoounter toeoinmomid 
iDletnitn. 

/Wv vjijhIdh.— 'till* U alwa^a vitrfabl* iiiiil pii|irkl»iiii niiil tliioiisli thf Infliirncf 
of till' ptililii- |»iiu u tiiriti'ly iiiiitihil by vi-niitd lutaii-ktu. Aa a foriMi to l>n iimiiI for 
K'fariii, It I* lliriiifoin ■iiiiii]IhI<1<'. Xlorcuvor, tlio )>ii!>]ii' itic [irardrblnlly lax »nil 
iDilllTpTral with ii>fi>r('iii'u to i»iiitt*ni uoiiii«''lu<l with winiintloii ami Uyj^iene. 
[Vtt I II I'll oil of projipity Himmi-'B iilnrin, but h 9arrilir(< of tif» on Ihu altar nl' )(CMi] 
or tKii«lanr« U not lotliririit In iiwakcn tlif cotii orn uf tUf maiiva. 

Wi/hJ ■uf>fr*M(su,— Tkc (iliysirian in the ptiijier ciistuliuti of muttrin elf'-KlliiK 
ilk iHtiitlk; lie iHalw Ibcooly proper iiKciit luinrM tlio i>oD(liiinn>> nbirb mciinco 
linniiiii lifp. Ilia knaw)«il|[(« nf tbc i-nii>n* nml unarena of ilanKfir lioat nitiilpblui 
wlUi tlw isonna ot vnifarr ajcaiuM riiTrcnt rvil* of llila clnaa. Tbo fonlliii; uf tlia 
jioatig; ii> infinity aiul rhibltio'Kl, llto appioitrb at infvi^tlon, wliiob in [imuy iimlMiHwa 
rail* r<>T iiiiiiHiiul J rill CUM lit In tlio avlcctiim <if tlielr fowl, uiiil tb(> man)' clinioB) 
rclatlolM lit til* milk aiipply, all ooailiiuu tu iiti|i<aiu ti|imi ibc pbyaicinn impnrlant 
ini|>DiiaiMUii«a, auil tu inukn bliii tbo prober aapMviitu* of uilk pradiHitiuD wli«n; 
k la iltwii^iHl for hia pnr|>nMi*. 

Ill onlei to arriiro all Ihiil w« itniilm in Mink'nillfe fi>r <Uet«tli' |mrpi>M«, tiniiiely. 
firoUini fnua liai-tntiii. tvlliibl» krvpInK iinalit lea, mi<l iinfforiii titilrillvd vaIiim, we 
]inipo«olli><fulluiitliic iilnii, nlHin:ti)' tli«aliitvi--i[ieiitl(in>'>l uondlliuiiHiiiay li»ar>|iiii<Ml 
nnilrr our own aiiiivivUI'in. TbiH |>l>iii, wlii<-li <* uow nboiit to bu |mt hi |iiikrlii'nl 
ap«rali*in by a iiMvliral eoiaitiiuinn orijaiiiivil by ibi' writer in tiHu.\ 1'iiiinl.v, N. J.. 
lBrliiil<« lliriH) Kncivral r«H|iiiii'ii>L-i>lii, eacb uf vliii'li Is ptauiitial. 'nil we iMilieve, if 
iiQ t»|[rlb<<r. will «nt.tbli>>li a reliiihle aafr^iniril ; 

TliM pby'iriiiiia |{ivn tlieir pru'itirol enroll rii^^mMit and Mipporl tolalioraoon- 
a IN Kii fill nil mi of iiinlii'.il iiii>ti. ■i>loriHl frxni Ili4<li iiwn nitiiitH<r. wliu «)ih11 
li> Hni-nro a "Opply uf milk iiroilucfd uoilur sucb r<iKul'>''*'0^ >l>al |i<iiitjr 
may Im» oaaurml, 



Ukii 



ill V' 



1336 



PAN-AMRRICAK MliDICAL COKGIt£S& 



(3) I'likt a|>prov«<cl nti'l trniitworlhrdttlrjDini, pomcwIuk honor, flnnnclnl ftbllttr, 
anil dnirjr At«l]l(ii>ii, *Ii:ill be imluowl. by reuon of iirumiAvd i»eilii-Hl Hiiciiurl a»il thn 
iiiMSMHil prioe of thi-ir niilk, to couilUL't Ui«ir iLalriM, auil polled uurl liiiiiillo tli* 
pnxliict ill cuufurmily witli ■ uodu of tw]uirctiieiild nia<le liy tli« ufuivmiiil moilirsl 

■ comiuisxion anil impoat^ by tlicui ID ilua legal form. Tliia mniiiKt bi<twiM.-i] the cinm- 
mUsiou noA tho iluirj'tnuii und«r tliuirpntroiiciKa uliull he atriDgcnt uuil binding, It 
•ball iiiclnde imiplo ■areliiM for iU fiillilliii«nl, thr. iit-rcitiuiTf forlritnro Hauipii, a 

^ territorial limit Tm thauleof tlivpmdiirt, proriiinn for lliRraiiipi>[ixatl«iinrrii|>i>rla 
tunplojdd by IhvcoTiiinlMloii, wliicli sh^kll liiclmlo a rliriuUl, a l>iii't<irl<>l>itci*it nnil u 
veUirliiary mxtf^voii. It slinll nl*» ri<iitriil lb« lonatlon nnil rliiirnRtj>r of tho land 
ninplayml for pMl arnica <ii for tlio cnltivnllimorinnlerlal* for foddor, It Minll <lat<ir> 
iniii« tli« ooaxttnrtioii, Itiraliou, nnil iltuitiiiKP of briiMini;* iu m fur ut oali*(riicMoB, 
locntlun, or ilfuiiiiige may elTi-rt lliu li«altk of tlm dairy Htock. tl>« retunval of wnato, 
or the cbaiHcWr uud ['«uditioiia of tb« milk. 11 •hull jituvide for au abutiilfiiit and 
)>iii« wutor ttipp1)*,itntlpr«viMit tlsn lupof water IVoin iibiillflw urulU oraprlngii lioMing 
BiiifiicodiiiiiiiLSi^, oithu iisoof any "di ornpriug locntedwitbiiiSOOfijelcif IIii)«I«I'1p. 
It ufaiill inrliide tbo prutoTlinn ol tbi- ■table and iitdclc n-oin a nnnt of olr-unlinoM 
nnil order; ^tlminalo dlit, nililiitli, and dnnaycd nnitmil or ToctaMn woHtf fi'im tlie 
pntmlM*; and diteiltuw tlii> ktinplng of fowla. Iioki, honiu, »r otliir llvi'Hlorh, cxcopt 
tile oow, Killiln SOO.vitrd* of tlio bnildingn iixM for dairy fiiii)inii««. It uliull roitn- 
lat«tbo bwillk and breed uf the uniiiiaU. and vxchids frum tbi> li«ril any aiiliiial 
tliat U,i>idguil bj a fompBtenl olmerver to be tiiberi'utoiiH in any orijaii or ]Mrt. or 
any iininiLil with fcvur or diseiuc prnoiwdin;' from or atiouiated witli parturi- 
tion, or found to bo in a ntule of ill bnaltli |ir>',|ndi«ial oilher to Ibc herd or to tli« 
rtiniaflcr ••flbK milk, nt nny aninin) tlial n a* lir<il throiiiibc1»iiRCflnannj(ntiiil]r within 
a pvrlml uf llirn» f;rnF ration)', or tlial w:i» not kept uteTllti during tli* Amt twmtjr- 
m>rpn innnthn. or any pbvnoinunal milker «ivept lliat j;landnlar dimvutoar tnliaTnl* 
baa llrxt bi-vn «xcludeVl by » roiiip«Ii»tit obtMver. It Hliall provide for Ilia priipcr 
liiniBiiig and eat* of Uii* niiiniala and tlieir abvltvr fium tli« iufluniCM of wealber 
and cliniDtodclrimeiitat to tli«ir heallb; their grmmiini; and tr(>atjn«nt; tli«prtuiipl 
ronioval of wK>to producia from the atable. ami ila freedom from animal odora by 

, propor v<inUlatifiii ; the abionco of ronditions whirh would mnko the animiU ncrvona, 
ftnil prrvrnl tbidr nxn for luilkini; pni|iiuiea when In n iital« of axeitrmont, oitlior aa 
a r*Hult uf or dnring tlta pi^riod of Mtrnic. It alinll nitctilafo t1i« fnnilinjc, bolb aa 
regards the inat4<rinU which will drltirmliic tbn dr^ilriul reinitt In tba prodni^l, aa wiJt 
as nwtrain tliu nsp nt iiiimtluiiiiblv or exhauiiind tnulerlaU unigdoyed to Inereaae tba 
milking capuaity, or tliat will ie»nlt In linpnverlahed milk. II Hliall gorem (be eob 
tection and handling nf Ihe milk, and iiMJol upon a prr>per ri'giinl forrlcanliiMae, aa 
it li Ticneil from the atandpoint of a phyiiciau and sanit^iriuti luid aa it ralat«a t« 
tlw BUimul and her ■urTonndinga, tlie tnilker, Ihe veiHelK. or to the aaaoolatiiHi af 
peraona handling tli« milk, witli aonreea of infeotlunn diHeaai>. It aliall alaa govern, 
In minntn rcqiiiminonti>. every ilep in tbe coaling niid preparaliua forahipmeiit,and 
add to tba proihiAl every knnwn ilelnll of e>r« that will piwnotelta keopln)[<|iialU 
ti** and favor ita *afe tmiiaportatioQ. 

<3) That llio iioninilialoii ■hall rarry en lla work without paoniilary com pen aat lull. 
They ab&ll unileavor t» ealnldlab, frmu data gatbcrad In ollnhial observalioua, cur- 

, not atandarda of purity fur towa' milk. Tk«y shall be leeponiible fur a perioiliral 

I aiMl pcnuBal Inspection of Ihe dairy or daiiiea under tJieir (ontrol. They Bball pro- 
vtda fur a biinuutlily expert examination of the dairj- atock by it competent and 
Bpptovatl veterinarian, who ihall bo inbloct to a connnlting and a nuperviaiog 

I »nieei. Thu milk prudneed ihall lie iiihjveted to chemical aunlynia and to baotorio- 

, lexical l«it«, nude by uxpertii nnder th« direetion of the mmmiMion, at rneh itanoa 
M> In lt«)iidsm<-iit !■ drairable, tbr mat of which ahall lI■^ defrayed by the dairyman. 
Tha elirinlai, thu bact<'i iologiat, and tbe Veterinary aiirtieon aball bn anb-ctnl liy llie 
oauimlaaliMi; auiJ when ao reqiteated, either porlodkallT w atlivrwla*, they diall 



I 



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PAN-AMRRrCAN MKPICAL CONCBESe. 



1337 



I 

I 



rai»d«r lli*lr lapurta in writius. After rocolvthin tboan Tvport* tlitt Miinnii«aloD uliall 
•cnil k n>(ti6«d nji^ of tli* tamo to tlic ownnr or ii|[«iita (if tbo <lalT]r iindar ita *>i]inr- 
■ Itioli. Ttik« lrl]i]e i:i>TllllrAt(>, dill}' »l);iivil, tliall coilittiliitc lb* praduvl uf tll« 
dklry "tntiAril isllk," |iTi>vm»il it *)iall W Heiilecl in RVpATntu quart eoittaincra 
fiiatkpil "L>iillM aillk."aud bour lliv iiaiueof tliu jiiudiivor, tuyvther with lbe<Ltl« 
of niilklnit. Il**n|; dmigntsl eapuoiuUy for clinical piiTpiwi-k, it ■lioiild be tiibjcct to 
IJH) f"lIi>wiD|; rvatrii'tioiia in it* aAle, siiiui<ly, tbitt wbno at aiij' time Ibe deaiaiitl 
nbocilil «xr<«>ii llie Huppljr. autl tli« shlk ii rciiiilrcd bf a pliyviriim, dtbcr for infuul 
freding «r tli« diet of tbn Rlvk, tlie tintdw af a pbyslclati's onlor ilinll bo rnitardnd aa 
a imifnrTcil pureliawr. Tho rnpurln of tba axport*, a1tb(iii|(ii (lt*i|tiinil for cntlfl- 
rnlm, niajr ■lno Im omkI for tiui tiidnnifttion i>rt1i<> iiieillral pnifi>iwi«n In tliv loealllltis 
•vbnip llin aillk U loiil. I>iiplivule prinli'd copiri), iHsiriug tli« •Jgnatiirf* of the 
•iprrU ani) Ui* bmivmi of Ihu cumin Lh ion. iihoiild bs aent out at auub tiuica aa may 
Ih) agretil <»pom, aail tbe nirpiiliitimi Hbnnld, fur obrioiw rawoiiN, be liiuit«<) M Uie 
ykraicfiM. 



I 



APUSTES PonitE I,A AT.lMKNTACIrtN KMI'I.KADA DURANTE LA PRIMERA 
INFANCIA KN LA I8LA DE CI'UA. 

IWd ltr,Ji»AOi;i» L- 1II'K^A;S. a>b>iUL Uuba 

Ritn lrnl>aJi>,Mrrltae(iiia1 nlijptii ^9 wlixfiifcr mi ]» pcialblp Ins dranm nianifiM- 
latloa pat Im Iiro*. Kciating y Crandnll. du 1m I'^ttidos I.Tiiiduv, M<i'virii para diiT una 
IiIm geoMttl trobrc «l i^iiiincu Hiiniotitii-in itHjiiiiilu diiMiili- In priuiora infaiK'iu en 
Id* nlikw da la lala di> Cnba. Hun tiifurmni-'i'^n tilpid.-i. pTaolicndn en difi>ninlcs 
liw*li<1ail*» itu la IbIb, nw hu punuiiido rvnnir •Inton de iili;tin Tiilor y tniopli-'aiiriitar 
lew eaiMwiMiliintoa prilcliniiiiuitA udijtiliidn* diirantn ml ridn prur4ttli>iiul m la 
HaUba. 

[>a>do QM piiiita da viatn i^iruetsl, pueito (I«o<t que la a1iiii«iiLtri^<D da la* nihoa 
ppqiH'IVnii no ntii anjela entiv n<Hoiri». iiiiiu lun rarus px<?i<pciun«i. i Ion mudo* pre- 
rppbi* il* la loy antaral A it loa priideuleii dictndun ilo In ciutiGiB- Kq cadu prniin- 
Fia, tin radn pncLlo, m pmIb fanillla, exinte nii nioiln de crinr dintintn, iiiipuiuto par 
Inn hdbKfu brmbido* do vaMnM KoiinniplaiKM. Kl itHtuI' lo renllin radn iino li an 
maxiKin, rtuti almipra ala conanltar Ia npliili'iii d«l inMiro, atii riildona ]>ara nada de 
la tnui^BiIrni'ln <l«l acta qne va li r«>alirane, ui de Io« poli};to« 6 i|ii(> ee expuiie la 
vida dal nllo, r|Di< alravimu eea peifwlo crftico d« an dvMlToHo, con niila 6 luenoa fur- 
liiaa, aegiin an rcaisltmfia iudicidiml. 

Rn Laa potiUitiuuM de nl|,-nna itnportanota, en la lliilinna. por ejempl», M vi por 
tnln* pnriM vl nlxnwloiin liaita do Inn mila iOiTiiii:niiilni prcroplnii. Lo nrbilrarlo en 
la llnra de MiBiluuta line ao niiiiiit. Kn !•>■ r^ndipiiH no rxiHli-n roxtiituliroa m.'f* ■hii.i*, 
J i radu poiu) tieiinn qiin Int^biir lea tni'dli-iia ciiii |ia iTa.iblox dn lii <KtinraiivlH> (.''»> 
etiJBid dnciinlrll'iiii 6 la dekipiiridAn de liildliMiim.v ic>'<><'rs1irad»a, i-iiy«a nrrcl<»»o 
radejan tu !■ nUilUlira >U- mnrlnlldad, ii<ib1i>|iirt el nn» pn^mdu de ItttU nnn nirrie de 
arllciiliM aiibre el **dti(tete"e« I.n llii^ieiie, p«ri<'di(a de vulfpiriMclda civutiliea 
4|uaditli[e nil aniicd el llr, IMAn. 

Attmniiatiin ndtarnl. — 1,» laclanrla matomn bi' emplMi en todn la lain, pora de dia- 
tbito nado J eaa dlferenle manlladn, au|!>ln •« <<otiiildere nii loa cnpilnloa, on lo* 
paalalea de uiia 6 utenM Impixtaiioia, 6 i>n lo* vltiendut nialicoa. 

Kii la Ilabaaa laa euodiniunBa dul medio, dcuaidail de poblai'iitu. falorM exi'Mivaa, 
linaif>1ntl, i laa que ae agtcgnn utrna luuehoa caiiaiu de ordeii biotiigico (t aocioldgiiNr, 
contrlbnyi-u A dabilitar la co(iatitii<i6n de nneetrna inujerea, y por )u tauto iiiiicbaa 
dn aUuii ni> piiedrii mataUr, aln pidliro para la aalnd. laa pi^nlldaa qn« oeaaionn una 
lirtADi'ln pruluujinila. (tiltvo ii-lnlkvaa exce))<-l»iire de aivnorat qne tlnnoa tudo el 
vigor Mooaarla |iara Mpurlar una laetancia Ii;k4ta to* dua a&n« del nlunilirninioiito, la 
mttfortM da laa baliauena aa realoDte al cubo do olarUt tUrmpo del Koatu urgAiilco 




1338 



PAN-AMKKICAX MPI>K'AI. CON'ftREBS. 



Niiplnnilo fu bpiiollrin do la crIaliiTn. TiAniloiw [iivplxailA li nriuUr if Ift InrtnnCift 
niintLi artili('i:tl. K« iiiii> (^iicmt vrr i|ii» lo* niflo* ili* i-t^ilio »v iiiuii teuton run biui- 
Diis ii|h-trica('i'ia <Ie salmi y lofntilii ,■{ prMHT r1i> hIj^iiiim iW'iiileiieiA Us fiinrcan an 1u 
mii'liiHi, ricrn no «■ mio, pur olnt |>iirli.>. oliHi-rrnr tn Iik uiriiM U <li>]>i>t<BlA t>nr nlte> 
mciiiii riiiilllntivn ilo lii Irvbc, lii ileliiiiilA'l I'oiiiliuivtotiiil, In iitrrgiHia. Kii talM 
rnniw In iii;iH |iriivi-i'Iiai'i> |iiirii ifmlnw oru'iiiiMiioa irHn, li In liii-iiLii«U mix III fMiiciiinn, 
Pll In •iiiv iiiiu iiii<lr>VA tiirii'nnnvl:! dltrniu mi ^iii I'linfli-inoii run In tnnilri-, i> el I'HtiiliKi 
(l«lhiilivo(t(<iiii>lrii3. Hi-KK" ItinilfitviKii LiHi'lirtmtilniii'l.'ui, Ijt Imunriiiiiiixtn lrni>-- 
iiiiiu no f\r-\n i\v t<itil>l-n'>mi> niifiiiiciH t'i'ri>>i. pi'iii lu« riiiiiliiiti tiptnii coii iiiili taiilliUiI 
I |>or la nliiiii'Dlnfiiiii niiifi'iinl |ior »r iiiny fnuiiin In rci|iiil>ii-ii •juc lut tU'tio li Ihh 
iioilHins iiifrrrrniiriii.*. In muiur i>nrtr ilc In rnzn cic coli>r. ilMln* la> ill's! mn> riuiili- 
rluiiM i>ii t|iif *■■ oiii'iii-iilni el •I'l'viriii ilimii'nLko iI coii)i(>ciiAiiria (le i.iiitoM rartorcB 
■orloli'iuli'on Toma liun coiitiiliiiitlu lutntmoiilu il i>n ilrai>rj[uniiiiv!>>ii, HitlanAeA' 
ritueiiut iiwinlw ilcl Aorvlcio mt nitri'Kii nl vlnvndo procio ($30 i. ttHi) (iiic tfii)^!) Im 
noilruHH rii In riiiilail, m AC-Mtianl ilr coniprnuili't |i<ir(|iii« r.aul itit>ni]iro wf |Mvfien> la 
Wtnuciu niiilii nitilirinl. K«ln iIiitrtniiiiHciMii m ii-nlUa lYucuvntviurnlu del quinto 
al iinvriiii ant lie In vidn tM uiAu, uli;uiia8 vecei nnliw, prro (tcj& proluMtn iiivarln- 
tili-mpiil" In virliiou (li>]>»si<!ii>a ilv In lunjfr <>iibiiun li nTiininnntiir miu btjmi, :i jiPMr 
dn nil |iorniilir*cl<i i^n iiiuiihas ocniiionu* 1* piilirezu conmitiirKiniil de mi artcniiianin. 

Kii I'linnt'i li Inn rondlrioiipn orf[iii> it'll* do Ui Tiodrjini iitotvoiinrlu*. d<'lio AiETripir 
igiMt ln> iiirji>t<^» unii Inn dit rniJi ncj^rn: pos^di una Icclii' niilii rku. mii' niitrllUa y 
■npiirrnn vnriiii' rHiin Minimi I iTnn, (In mv till rue ii)>i-rini> xii mi ■nitid. Tniiiliii'ii rod 
1iii<<iinH InA iiiiilrl/An dn I'mmnni >* In* |ii>iiirianliiini. on mi tnnyorln cnlli-u-iVi I'uuiiila 
lrn«n mm liijirt; pern U n-iclii unnrrnl m igiu' omluivn ili'JiiudDlo* mi «ii jiufs y oxpu- 
nifiidoM li iK-rilvr i<uiinii1«RiblMii(iilv la *i>cTvef<>ii l.tobHi dvpn^ <to naa IntKN f 
|>t>no*a Iraveiniii. 

Kii 1u Caui il<^ MdlrTiiiduil h> I'uiidun la luclnii«i« n.ilurul conio nlimniiUrltin 
pxchiilrn lilt liin iiifiuo do pi.-i'hi>. l.m nigiiiriili-ii dutiw nic linu tiiliianmlnlntTlitloa 
por mi* dial ill ;:iild(i* niniico*. el Sr. (.'ft|ipin|[or, rcloto dircctJit tM riil«l>MitiiienU, 
ji «1 Ur.Mouinlvu.mi'dlcodi' In Mati>riildnd. Cnda iilfio ticov an iioilrlmi dvAtiiiwIa 
i piiidntlo >' attcDilvrlu it In v«a iiiie amaiiiniilnTlu. So It abuiiNii KKI lumtaiialM, 
•nlrnKitiidiilo ]□« K"'<I''<* ■I'l'cMiri'K do Invudo d« ropn, uliiu«iiln<Tii>ii. I'otirvi.-cioiiiitdn ou 
I Bbn rucltin rupi-rinl. iiliiiirlitfH I'Hpcrialcii, cliiX'olntv. etc.. In [|tie hnie nTliiwrntaT 0l 
prniiipiiiAli) piira rnda arm ki til mi'ii^Mnlni. I'nra ooln-r In ijiie incstjt «l anatvBl- 
I idI«iiIii di- uKt i^^clnn, linxln >>nlirr i|ti<> utiiialiitnili) In)(ii-»nii dr 'J7 & iSi nltUu |iard 
Iiiriiu dcstiiiadu 6 rvHilrlo*. Kl dc«tvl<- »p ivnllia i-rndnnlmmito hajo Udimu 
liitpcui'iiiii il«l Dr. MiiTiUilru, y «n da *l rnMi dn I'i'r tiiAiw •!« i<i'fm (1« da« aAon i|it« 
>■ loniuii otroa alitiirnluH y Uiilnvia tieueu nnu QOdriiA (|iie Isn brilida iunt<<ninl- 
niciili! «l pectiD A cicrtnn liiima. 

V.n fl iiilitrior iln In Utn m' i-iti|)]i-n Ki-ni'mliiiiiiili- la luutuiiciti mtifnin pnm nllnii^- 
tiiT il liui titnlloM. piiillmiiln ntruiiinim- i|iii- I'nii ■•"Inn lui- niailrm dan «<ii'laiiU'ain(>iitc 
•1 iHtrlln li •■(• litjin diiniiitv I"* tli*a •• I'n^itio |irlini!r<iii tiin>i'> di- la vlitn y ]ii(>){a 
kI tenia U vain VII U i-Mi olru* aliiiwiitiM tinntd nnanUihivmiJUidn idoii nflat>, Kl nimlo 
ilnailiiiiniHtnirlu »ii> MUl itnjota ii ntni ii-cln iiiu' al mtirlrliii I'l liw li:iIilto* il» cuiln 
faiiiilin, aicndu niit}' rretiicnlc cniisa de irusluiuiw inlrs'tiiinln' U I'lWUiiiibre <1« 
aniainnnUr ran rxcmo ul liido, jrn diiniiile i>l itin. rn rii 1,m liiiniit ilu In iiih-Ii«. 

Jtimriilati^ii itrllJIt'lal.—V.ti lu llabumi no piiirlirn cl iloiilutti pipmnlnraiueiiU^ fon 
piif to coinitii ill- Mil tiioilii uradiial. 1^ rpura ijii.i m «i-i>k« pura i-inpeuirlo m la 

(|iio liawnrin dul rnntl liiliilii iiirii ill tiumiio. yn lu^o pri'ti'SUi ilf tiDi>Vi> otillia- 

nra ii |M>r<|iif> la iiiailrir rnwdvbilitnrw atnlmiifiiKtarl nlAni pi-clio «il». Kn iiinrho* 
***«• H maploii d«> In iiUiiieninriiMi nrlinrUl iilii-iln'r nl dTWui iId rurinlMvr y fii^ar- 
' dar iiitim i|ni' ii<i In iinvwilju, iiur vivi'n •nliidn)di» y w bnlUii on )iii<>iin4 ranie*. 
liif-iiiiidu i-Mi (Mlv vi.>U»rt<i* diiijv'pUi'ini y il('lii>ndu« li cnfctiiiarliM KnTeiDUute. Eaa 
M una Utudvltria Laalutilv [-riii-inUuula ell uiinklrii \tai*. 



I 



PAN-AMERICAK HEDICAL CGXRRE!^. 13.^9 

I ftllmmtlA i|iHt M ili la prpfcrfnoln pitr tu aliuBitAn^la y lianttci «« In )*<'Ii« ile 
Ciul «tniiipn< iM> III n')i>ili>)«lrn hvrvlilu. uu In ])m|iiir<'i<'>ii il« iIim piiiteti <lv 
-|Mir iitin '\- ai;<u. »«t<i <^, tctchnU, .■Moriiimloli' iij^ua <!•• I'jil li ilt- Vicliy. Iiii'nr 
In (In HiMii. •iil*,ri')i:iilii, X^. rnH ul>j«t<><t« jirevviiir \m IntHtuniu- i|ii<- sii ili|;mti6n 
t>ii<)lirni iirnaimiar. t'iiiriiiliai't'u Iniliui lua-i |ire(i:iTii-iiii>m huh iiiiiiili.-i |>uru cunjnrai 
Ion pollgiiw <(n(< roinllkiii At> Iil« iilliTucioiitniiiit- HnTre In Ici-lip yu por In utiila citli<1[ii1 
il» Ion |mM<m at viilrnt lii jiiiiiiFiwrN. ya |>or Iih miiltiptifi I'lirimiii ■!« ijiie lie linMnilo 
«■ Ml tral>ii|(i Fintin- la> eiiti>ri> trolitis. Kii >■] ciiiplMi Ae lii Inrtiiui'ln iiiiiu iirtilkinl 
M csnMtiTii Ink iii»iiiJ» riltUA '\TiP vn III iHi'tDRtiiii uiiitoniii. K« Tnri} nae no «ii,|ato n1 
■lr><> A III! vrotiKU'rii r^i:''ii"i t>it*t><l<i un iiiin hijil'iio iilliiicnlli'la liini ■■iiti'itilliln. No 
hny t'oiitra •liiu nii lix riinif* rii i|Tir liili-ivlmin t'liiit (tirlv'rli' ''1 lO'illi'c' ■Ic l:i lainiliii; 
p>>r i>niiHi)ciilriil(< la itiiU'ii |iTUi-aiirliiii ik iL-«jmiii i|iii< »i< tomii i<* I.i i-Dii-«);rii<lii Iniili- 
^tHitiliiiriilr' jtiit (•! iitu. dp livn-ir In lui'liu iiirius vmw* nl liiii, Miliru tuda cii Itis in«set 
■liinnum lUI v«iiiiwi. 

' Ikailii rl bDo de l8lNt, Mi U miMoa 'pooa «ii iiaii cAinMizd & bB«<^no luo de In lecbe 
drtvriluniln ni el eitmiij^ii>- ^o* Dr*a. !juii Martin y Vow MniwjHraa nai eiiiiiijrva 
dv atl«tiillraci>'>a put iiii ji rue cilirai unto <ii[wiiIaI ri\ >^l I.nlinrntorin civ In Crunk'a M£< 
di<Mi-(jiiir>ti)Ci<^n. y iiiiliruuilo iiopo riompn ctcspii/n In Icrlin ile pxcelcotci »»i|ne- 
riaa itila»<IiH no H ocriilmln lie In III:!, ]ir'ipi>tcion.ir»ii nl coiwiiinn nn Ion inrtcuidoa, 
Hlia litaiCiiH^ia lerlii' •■■(■■illli;titnn1 vnpnr Imjn jiTi-nl.'m en f\ Rtil<ielnVf, -i una li-miinrn- 
tiiru ilnliri li \i(i {'. l-liit;i Irfkn qim ai' v<iiiiln ili-mlr i>nldno0*i l<) luniinvv* la nti<iUa 
plntu, nIVnrtn niiu UiMia iraraiillA pnrn lu itnliiit, ■iiMiilii »rA|-liln fnviirabli'maiit*' pOT 
nl jxilillni iiiir lli'giS if ni(i«iitiilt ilnitil" '\nv v iiiip]ji»tii In iii^Jhtu. uiuw ilier mil 
Wlnllao niMiKiiulci. I^'otii.' I-iicmh. HOpi'rii.ir it liiil»s Iim •|iib nu eKptMiiIvii imi In 
llnlialia, 3^ aili'imi* ni'^ptrm, pHtnlfn llaiiinitn it ladiiir ]>o(|pTi>niiiii«ii1u rn tu coiiterva- 
riiHi <1p la aaliii) infmilil, *i la tuition mpiTiiil ijiir rftiiTiii'ri- pnrn m iiiliniriiHtriLcjiiu 
fni-M< i-nifTiipiiloMiiii<nli> pnclion^la pur tna rmiiilini'. Iii.>tiKrH«iudniiii'iili.- nu iIh roiil- 
IihIiu M'|[Hr>i> niai •|iip en B>|iinll>ia rnuu m (jiir In i-'Tiltiirn liidiviilnni ao Imlla illa- 
jiitfuls 4 ronipromlf r tm triuK'rnitrntnlni liKURflrinn dpi progtrnto, 

Upi-lrtite<ii(iite «l Dr. tMiln Im Idfiuld iiii inxincno aimrsio ciif » uno cinplMa i 
l*oiH-ra1tur*«, y t|ii4i iItimi pi>r uh.lotci rHtAriliritr la li>cli« i]!)!' lia de ri>nHuiiiirHii 
diirahl' cl dia, |Hir nirtlin dr iiii ■ciicilln prucodliuioiiUi jiiiiidUi ul alcaiirv Av Ins 
ftuiiitliM. 

K I'.l lUn d<- la l«(<1i<i do liiirra en U Iliiliaiia *ntil r«*lriti|;i<1o & iiii unmi>ru niMiDr iln 
BpiKi. y pniule dri'lrw i)iio>ol» nc ti'mn pr>r ptivuriprii'fii rn<'<ilutiva. I.n Xvvhe no 
■ jcrniiralmnnlw •!« Uni-nn cnlidad ]>or iloilrieiirin eti In i!iiiiiii-rv/vvi''-ii y miHtviiiuitimla 
^h Buliailit,,¥ •II t'Ti'i'i iwi utii nl »l>'iii>ro d>- tnilnii la* I'-vlrinn*. I.n IitIic do ctilfn 6 
Klira r« >i>uy piiro noBiln, lo (ut>tii'i ■\\ie In di> Jftfim luyii xiiiplcn h fii'iipHonn). 
f l,>m nliiiiMiliiH >|iM< (*i prriKirAii cii f\ pnl'i pitru nviidiiTi-l n'liliririi Indioii li pnia 
■niililiilrl* piif ('••lupl'ilo. ninii'ln nl ilpnluti' f >li-riil(iii>, i^uiihtalnii <>ii nli>l(« ■> 
|ia|itllw> >|t|o Ml ruiirri'vliinitii con iltremn* )>nriii.iH ll l:ii> riinlrw »(• ailinoua ralilo Inits 
'• ai'iiiiii dMicinudu, •'■ Iri'iMi j u«<irar, tjtu <-■ i^l iiimlu iiuIh loniilii de ■'•iiii'^iiiiar la 
nliiiHiiilai'titn. I.n liarinn dc li>^>, ilf vii^ii. In tiiiilii-iiu. la lapiopn, la xalleln jiitlvr- 
rlraila, la liiinnliiiia A linrtnn i\- pldUino, uiii laa xu^lMiicina d« <imi niua fivnriilo. 
TnaiM'ti m i-mpltaB In* migai.nna m liB'-en ruii jhui iiiojadni-D agun n Ifuliv jr nil 
(MM'u dt> ■•>, ui'linii'lii et tudv «ii mniili'na blrvJMidn (on itj<iH, liiuit« otitiMivr una puiiln 
■til rWla vululKtirni'in lym Ina nirim lotiiuii (ina n|{nvil<i. !.■■ aopu* ila pan, laa da 
li>rlw<, it lu <!■• cr anjcn* aritcNt j cao»la, lu tu<\ia» ilr flilona li (upjuvn, Ina pnlataa, 
■I arrun von |a(i|>i>. hoii Icn pilmnrii* y iii.ii> iitiiiilni iilliiii'iit<u, iliijitiidoao pnra niia 
|l4<<Ulil« Ida liuovm, rUiliia vundna, <'I p(<><'iidti, nv« •> rnril^. 

L Ami')<i« ra|p ■■■ ol iiitnlii linliliiiiil d«i ci>iii(<ii/ar In nliiiii'iiliit^li'ili itc loa oiriiM en liui 
Iwiiilia* IiuIkiihtu. w ilau cnrtiin iiii iiinix dii (iii'ilivsilimio lil|;l<*Til<'n* 'liic Oi>niiii>liMi 
im llrm-f liicrrir pmiialnniixriilri miatnlii'libi dn dlllril ill)[m(ii.n, lni'i>itipalU>ln> cull 
Itl Httadu di' Ui-anirolld lU tii« i'<tj(nii<m dlKOt.ivo*. I.l^)llllllllrl« dlvoiMin, (rljuloay 




1340 



PAIf-AMERlCAN MKDICAL CONORERS. 



jO'lfM princfpaliiiMito, i;Ql*as vnriitdoa ««in« •! Ae ninit, que Iim ninoa no miistiriui 
lilnn. i|iiMO*, <1iilcc« y f;<ilo«iiin« (1« toilM clniif*, (|ii« «uel«u prudocit gr>viiiiuiM 

Loa ulinifMilUH UTtificiiileH <)ti« M inipurtati (1«l «tRiii)^n> piieilen net chIomiiIim, 
fie)(iiu el divi-no cuiitimio i|ii« lie fllos oo hai'e, cii «l oriloo nifpiiiMite, t«iij«aila rn 
cnenttt lo* diitun <|t|p Uc tvi'ogiilo on ilivifruL* dru};npriaa iniportadutiw iln 1b oltuidd: 
Icche conileiiiiKla »Dii>Tiriknu y nuiin. liantin liuiti-iirlii do XontU, fonrutiDa Fnllltimi, 
ailments do \Vu;{D(-r. de Mvlliii. dc Savorjr y Moaro, hnrion mnllenda Datttmoo, 
Krniio ImpoiEnl. Ihs t«iliMoIlDiiiu< liiicn mi imn vaiinilo romn nllnioiitii aiipluturio 6 
lulklonnl, ali-iii'^iidniin A Ian Indicar-innc* tMiirmmliiii nil )»■ j>ii>ii[iroli» para im iiioito 

de adiiilnhUiidiiii y ditkl*. El quo intlii no riii|ilcn cm In Jm-hu <'uuduiMada iiuicricuiit 
y iiiiichuK vvfot rimia altmanto rxcliidvow mniitoiii^iidotic In* niflot ea re||pilaMa r«n- 
dlHodsa de iiBliid. 8ii jioder nnlHtlvo ohUI •iilinrilliiiulii ou ettu |i«rt« S la vonntitii- 
ciAn d«l iiifii> i|iie lu totun. L<m niltM TawttH quo no neoobilBii ilo rioa y nbiiiidnnls 
aliDiciitaciiiti iiam rejiarBr nun pdrdidiM <r dtHaTrdllnrno, ho (iiicueiitrikii blnn rou ml 
ti*», ]>cru eii In miiyorlu <to lua iiitlos bubnaoTcii quo utiliinn U Inrhn rniidrni-ada d« 
nil modo exclnnivo, I* natricitin to linco emi liuiuuidoi. Ion oolfiro* non piilldnn. Ina 
caiticx lil.iniliui, ivrelnn nn uiliiin, la* ntrlliiilna dni IliilullKmo y ili- \,t Jiiii'iiilii. I^ 
]Mh« cimduiiwida rviinuniitu. Mill «iiiliai-K<>i "» p(il»'1 iiniiorliiutfAlniu i>ii la bltticuo 
tMap6iilii'» ilv civrliu dUpi'iiiiitiB y i.'iitfHtis, Ciuirnlu nu liu.v ul rvoiino de an* 
liiteDU nudii»l j Iom d<Miii[s If^idiiM no »^ tolvr^a l<ii-ii,coiMtitiiye un aliuioiitu pr^Hoao 
para modificaT ouii ni]iidei ol aapoulu dv Iilh depuKJcicuHn. 

Kn el roslo d«la Itia la atimoDtaci.^ii urtiHoial varin w-KAn le la coiuidora an lim 
poblurinDM do llinn 6 iii«noa iiuportiiiiciu, <• on Inn imoblo* poi]Uen»ii. riutnrios. hftolen- 
daa de Inlirariia, iiitioii,elR. Ku la« c.upitalwi do pmvlncia. hckiIii Iim Inrarni** qua 
•enbo tlu Tueiblr da varloit cunijiannni*, na idianrviin RiiHtMiiilima aiiiili>)C]u » laa de Ui 
Habann. Ln lor-bo d* vaca m (CO'vralnictito la b&i>a dn la ulimiiiitnclOn An liw niAoa 
faoolp adiilteian^ en lea piiiiUw eii qui? PH(tMi<>n. '.'On aKua, lucti" do Ixiniiitti iS i>iiuibb. 
Kn algiiiios liignreH, vmao en MatauKiiB, eu que no bay looli^ biiriia y aUiitiilnnlo par 
babsTvo ootivoitido uiuvbuB buvieodoa y polrmM en volonio* pam In ox[>lutnriiiu tin 
la I'ntia de ludcar. b4 iiabiilu rl roiiMimo d« la locbo uniidEUSiida iiiiKTipana, el ooal 
aninrnta toilnvia on la ealaeiitn do la >oea it uiiiu de In miieitv do miicbn* num j 
piK dnflrtoiii.-la dn la oncrooli'in ra Iw rtutniiUti. I'.a nljiniiaii prnvinvinii en que 
i>xi*t«ii iiniii'ToiUM vai|iierlaii, |>rodoiiilna id cmplnn d« la Ipi'tii- iln vara, pan|ii« exiate 
itn Oiiba la eunCnnibiii de r«|>arUr ol i;aundn eiitro luk vnriniiii i nitloriM eott *\ objvla 
de couwrvarlo en ul ti«n)po de la seciv. Ahi iratia faiiiillu piieila ditifriilar por cicrto 
Iieill]K> de lu leclie i|itr le prcidu<« la raea iine no lu ODtii';;!!. jieru ilMile baf« poeo loa 
poCterrroa lieuiloD il re*trin);ir dicbo lopnrto on iiiiicbo* lii^arM pur<|ii« loa vnoai MMi- 
iraon nl hilbito do donimir Ina corona iiuc sopnnin Ion linriia poliudaiilea nnaeAando £ 
ronipniloriu li ton ntrw. 

I)o IiiiliiH itioilci*, •« rotliiinbrr niiij' leKnliln nn loa rampoa dar d loa nllloa, que ram. 
M>ii d«<l pvchd lie )a mndr* Inohn il« vana, qiin an adiiimlntTA eiiai alompre licrvlila. 
pero la* iniis lie laa veru« |iunt r'li^*<i'*'*"*'''""<'"t''- 'I^nbl^ mU nmynmrralitAito 
el einplou do la obira rriandera, oaneordando eii Ii>d<« Mia doMllea, Ina iiniiierowNt 
infonnca rcribido* do tuda la lala reapealo al mudo que m tl«D« da aproveiobar u*re 
aBima] para la lactnuvia. So hubitiia al ui&o i pfaetlcar Is *n('<'i<ln dlrectaiuenle f 
al ««Imi dc pom tioinpo In caX'tn, aprende j tgerM au* riin«ione« ponia luui n-rdadcra 
uodrlts, nf iidjruiln xihrito nl llniiiAUiientodelaoriatnra y aeoniudiudMa da U Niq]ur 
niannra pohlbte para facilltar al uiflo U >neciiS«. Lu eabra se ■pruverba en (oda la 
Ilia, pvn> iiiuy partiniilarmrnlo on todo ol Orcidontc, pruriurU de Tinar del Itiu j 
en nliiiinaa roaiari'iia del rrnitro y el t>rlv«ite. 

Kn dvrUa localldadea <1« la protlnfla d« f^attann d« Caba, «n laa ba«leiida* <1« 
tUyamo y Tignuni, en i|im niiten graiitlfa vainrrlaa. a« aprot'erfca jiara allaiaatar 
i loa nibiw el mieru obtealdo pot oxprealda <la la laehc, oaannlada par ■•■ 
viu^o, para la «Ub»Tit«14n del i)umo. 



I 




PAK-AMEKtCAN MEDICAL COMGKCSS. 



1341 



nil 

i 



R«apeitodlA lf«h«ilebiiiTn y ln<l« jopiin, «n iiauti cou rar«zA, cnnndo «1 fiKiilts- 
Uto I* prcanfilM 6 ol nlllo ii» ilij^i'T* Muii iil]|;iiiia il« Um k>-h(vi aitrorJorw. 

IIbjt ub 1i««1u> •\nr Aebo lij^ir tiiuclio lit stvuot'in y iine i<or »1 it"\n IimIa jiarn JncgAt 
dri )->^inio ent^lu nn lae •• eiivoiMiLra U i>tiliieBhiQi<iU (1« la nlfiex m t<iila Id IkIa. 
1^ tlrdviuiMHt it«t tdKiiiirii cauniain un mi Hginicter «xoliui*un«iit« i leoho li kw 
ulhltoa. El iMiifrdii. eii lii D|>iiii>iu do loiton Uw ni^dico lue am liuti norrrito, u nn£> 
Dime. Ya illalkutvii <lol miui luuU^niu vn t»Uiif>ii itlxmilniicjn, ya d« udh lacUnelft 

ls(« nitfs 6 meiKiii iBijiroiiiii, lo frtcnmiU) m qua ilMd* ol toconro 6 i-uarlo mo*, bi^o 

vipito At <)ii« M) eriati ilfitiilm ft t«clt« wtln, •» lea jmn* en la boc> priiiioro cl pedotu 
]ian, hivii^ •] bmtalo ■aleoelixto^ «l pIiIUuo venlp frltu li oiiikIu, i^ iiMcniibleuivntu 
BO vi (l««il* In •■>))« (le pMi 6 ilo li<lu(ia i In iln arn>£. («*ubf, cm tic 6 taanjo pam qu« 
lo (Ab|w, cBiivliiy^tiiloM p»r »aber que ol niftu, bLu botior Mrtulaarlo el porloilu <l«n- 
tsrio, ooiBB ya da UhIo Mimu Iuh uiufurti* ilu I* c^ia. 

I.M jiapitlu i|ne b« usaii nl cuaiionxo del dnitcto, cntro tm oampo»iuo« rnxunttblM, 
•• pt«p«raa lo lutuno qtie be ilivbo aDUm, con cnliln I'l lochn, n lus uiiulfH «« AKTUga 
iMWina da lrigc.de mKii cuiodudo rd nl pn)*, li niiilrona (IV-ctilu do ujuix). La 
b.iriaa de mait lanibUii m ^injiloa macbi»iiuo, t"^^*'''"'"^'' "^ "it^^'- oa ou lualiiM d* 
ptudra enjo du«Ao kiljuiito. 



m 



il 



^ 



1 

1. 




i erba d nuti por »l aiirhu orificFo niluudo en el cootro del disco fliiperiAr, j par 
Ilo lie Dn inovtniieolo girstorio iinpieao nl mnngo de lundern, at tritim cl graiKi 
' liM doe pintiuii, Isa eiislea vnti dpjniido eaeapar poco ft potv la> pattfdiiUa pur 
I iDlxnitlcio que Imi iHtpara. El prodncto ami obt«nido *o llama rollAn f con 1(1 •• 
irvtMtr* la papilla, agittgiaAoii^ ]4>ch« hejTlda y un poco da aEAcar. 

Coa rl pUtann veriln Ihto, ina«liaca<lo «in nii mortero, ae fabrlea tambMn una 
IniTiii.i line alrva para baoer papillsa, cnyo vinpleo as gonoral en t«da In lala. 
Ihitada Ht> ali^na eiinalttooela y* iiila 6 unlda i utroa allmeuU'*, ae depoatta an Ift 
liura ilnl Dine il«epoi<s ile baber amaEailu oiertn cnnlidad eiitre lo> itedoa. Kate pKH 
tnlliEiirtilo dul boeadu lieode i auatituir en mtifboa pimtno ili'l ranipn nl niillKua 
^Tiwpdvr del maaewlo, qae coniiiate an jatrotlucir en la bgoa del dIIIo el atiineintv 
i^vluncntn maelicndo 6 iniwliTado por otra ponnna. Kl nlltiirntu cnipleiiiiii puT 
Bl]|tiaaa familiaa eampoainiw lu^jn Mta )ppiij[Datit4) fnima, m el plitaiio verdo Mto, 
u»v(>f«Bliiionle oortodo en anniuloe dlanoe, ;a MIo 6 innicladi) con potnnniM peda- 
HB d> rariM da patrra 6 uhlfliarrAn, i|iie no m olra ooaa ainu la pUI de) pnorco 
IU>d» ft elMla <«nttdadd'>l Uijidn <^«liito*i,TH*nMi (|iu< In Muinila y que *e ttin y 
IfJiieham al fiWio. Tunbl^ii au VKieia In came ds puerco al boiiiiito 6 nl pUtani> 
flhailaro, ooaaUbiyetido tin aliniHiKo muy agmiUblu al puladar. 

Kl |it(K*dar de la lelertt Mtft aeiniisiitu miij' eeiirriilix'ulo. Conaiate sn enlwDar UU 

petUao da pan. de (Hlluid. de paaotola 6 eidra dontro do nti poqneno tra|io, anjetftii< 

deki daagiu'* «io iiu lilln, ft la nuDora que ao itlnjinno la gniiu pan el taponrnmlenta 

ntlWMVrlcal del Ataro. Ifr<lia la trteni an aiiniprjo m no poco dn >K"a, aola 6 eon 

irlnff 4 laetie, ftoCmi nbnpar al alB«>, remnjinilnln Ina tooo* qno annn iK-cMarlaa. 

tia lua allmoato* IroporUdna, In leoba eendensaila oiiMTiaaiia .r la hailna laetea de 

^KralU, aua hM qar itnluuMiiilo m empl«Aii, aiempre an ninvor propor«'l''>ii en InH 

apUklM 'I* |ir»*lnri*d em laa poblaDloiiodecnertu impotlaucia, qua eii lea paebloa, 




1342 PAN-AMERICAN MEDICAL CnMOKESS. 

caaeriua, Golonias A otroii ciiii({tomeriidoB hninaiini], <I<iii(le |i[icde calilii^arw du iiiKij;- 
niGraiitu (> uulo vl coiihiiiiiu rjiio du ellox ho iirai^lii'n. 

Seria prolijo iimiMtir ahura on Iim rcMitltiidim du tiintna tniHin'oiuues higii^iireuH 
como M uomcti'ii nl nliinuntM' vicioH.iniunU' ii Ion iiiflos, di-l jiiinino intidri r|ii« ul 
Miijhtarloa i la iii)>CKti<i]i iln aKUau ile \ioy,ii ■'• uLiiniiiiliRlcn uiii liltrur iii bervir. L:i 
dispepsia, In dilatiiiuiiii del vatiiiiiiij^ti, Ioh diilonlLN, lu» vcriiips, la ec^emii, nun Iju 
enfurraciladrB uiiIb unimiiuu on li» i-ainpos y cii Iok poUliidcrH ilel intorior. Los IwIu'h 
do vientre gnioHo He von por ttxliia piirtca. Liih inrtici-iuiios do todn gi^ncro por el 
tiibo inteHtinal, uiii-ii on trail mi tern'iiii proparadu do iititPiiiiiiin i>ara rettliiiar c<iii 
mds raciliilRd itns turriMea t'strnh'us. 

Kii rtHiimoii: uii la l»1ik du Ciilia la aliinentaoiiiii d« tim niilon de ta priinera iiilhii- 
cia nu cstii tiiijota & loi prurcptiiH tii-;i(^iiicOB hiiio en Ins publuciuneii de cierts iinpor- 
tanoia y eiitre Ins familias ilu uii-i'tit uiiltuia int>^IHcllIul. 

Ul iiiodu niitH f^collOlltl^ ilc ulhnoiitar -,i Inn niTiuH (.'^< pur iiu'dio de la lactani-iu 
■natema duraulo leu priiiierus uiest-e do la vjda. Du iin midiIo ^'oiieval piieilc ilecirae 
que aon bueuos Ian oondicionio de lu lunjer ciiliaua ]iara el aiiiiiiuniitauiiriit^ de sua 
hijiiB, Hioiidi) inuiiuM niimoroHas Ins biiotiaH iKidriKiiit en lim riudailoB y debilitutiduito 
iDil« primlo i|UO Ins (-Hnipeiiinas. 

La toudeiii'in do uDeBtrax iiiadres on tuda la Ifila bd destctnr preuiatLiramotilo li huh 
hijes aiijetiinilctloH, uu las pobliiuiuiies, ti la laitaiii-'ia mixbi urtilicial : en ion canipua 
i uno alimeutacitin viciuna, poro eiu dejar de durli'H el jiechu li reuvB hntitii Ioh duH 
aflOR iS tuiia. 

La leche I'l que bb dii la profei-encia do onliniirio en la do vava por bii abmidanria y 
baratex (5 r.entnvoB bi piiita); on Hogiiiido 1ii|(iir, la do blirra en la liabana li iilrua 
publnrioneti iniportnntcH; bi de rbivu uu Iub ciiinpiia, UHiiiidiine en lillini'i lu^ar la de 
yegnn. La leche I'Btcrili/ada no so consnnio niils qiio en alfjiiniia capitnleit de pro- 
vincin, Hobre todo on la llabaua y alrcdodoros. 

La loclie condciiHUda ainorirnna y uiiizo, pern Bobre todo la piiniera, sou do uao 
may )^ueral en«lIuB. doBconut'l/'udoBeBiioTupleix-afiien iiliHolutj) eutra loa cainiiesinnH 
6 gnajiroB. 

Lor doLuiJB allmeutoa Hrti1li'in1i-e que 8S importHii del e\Iran};(-ro nan eBcanaiuonto 
adniiiiiatradoa a>)n en las oapitaloB. & exeopciiin <to In hiirina bivlc:! de Xrntli^. 

La primers alimontiidiin, conret'eiimadii pur d iirta nitinario on las eiiidailfii. cnn- 
Bisle en el uniploo de ]):lpilliu ii atuloa i\v Ba);d •'• trif;o I'oii caldii ij locbe. Ian ini};.is. 
bauiinln.i, snpaa liEorax de pan y Inego do lidonn, tapiura iV reviilcntu. En Ins piti'bliis 
<le i-ampu ho uaau las iniHnias pik[iillaa de nanu 6 du trtgu, poro sobro todu las do 
hsriua de mnir- y biH de pbitiimi vordo. Ijo uaticipa el oinploo do olnia fernleiitoH, 
i-onio el bouiatu, Ian pntat(i>4, lu tiiabint;)!, el iirroit, etc. 

La alinieutaciun vicinaa ronxisln en ei nan mils froctiento on Iiih canipoa, pcru liini- 
tado en laa ciudndos li las faniiliaB de poca I'liltnra hiti'lcctunt, do Mustanc^inB tnado- 
cuaduH it liL edud y di'Hiirriilln del niHo; ciartoa feciili'iitoH, como el fiauio, la yura; 
leguminoBaa como frijoles, Jiidins. fi'iiton dil'erenti'H. h1(;uiiiiii vecfn venlei, dolcca 
du tmlaa claaos, liclados, qnvBu:< y prodnrtoa iiiiiH ruiiipiexoa d<'l arte cntinario. 

No dobo leviiiitar la pliiina sin di'jar conHipiiula nil niiia iirol'iindn (^rntiltid a ton 
di^nuil euiupanvrciH que bau qiK'iidn favon-cenne ron siih iiislnirtiv-oa iLiCiirmeB. Los 
primeroa ejeri-on au prorcaiou en lua disUuf as toralUbKloB do la Isia qne hc expronau : 
lua sei;undoB, n-aidi'iiloB en la Habana. liau pernianeoido iniis ci menoa tioinpo on ol 
cauipo: 

Dre». Cnrliouell, I'otu (Miinttia, Piniir del Rio), I'l-roji {de (Jnanp), Vnlili's Itril-o 
(de San Lnia), Madau, Cunf, Tonnis, VAld<5B, Anriaiio (du Matnnzas), Oadenaa (de 
Reniedios), Cuervo, Qsrcia Itijo (de Santi Kiiplrilii)i Trialii (de Rta. ('lara). 
Betancourt (de I'uerto rrfncipn), Gainitini (do Knnliago do Cuba), Moneaca (do 
Itaracna. 

Deltiii. (Irundi- liiuMii, Uurreru, tiiu>az Yaucs, SiiD Martiu, Tauiayo, Albairiiii, )' 
Quifiouea de la llabaua. 







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yc^W i/i M* tH^i'tfy j/-«'i«4 ,d»uf^/.i 




PAN'AUIvUICAN MP.nlCAI. CONURE6S. 



1343 



A COMRIBUTIOM TO TUB STl'Oy OF I'KIMAUY ENTBRO-COLinS IN EARLV 

IXFAKCT. 

Il]t J. (.. DITIKA3. M. I>.. of Hanna, Oiitn. 

In Hki'iina, na In all )iii|>iiToiib uitin* of vitber lM«uiiiphft«, t'*i- prnportjon of MW«a 
of kiid deatliti cicviiiiioiiHl bf iiiti-ttinal diMinMoa muook infanta iiTiichcii a verj- l)i|[1i 
flgtire. UcsMi'ii siuiiile diHrrlin-ii uml llayi'iii'n tcrrrii dtnrrhirs, nianj- ea'w nf iiriiln 
«iilnri>-r«lili* i:i^rur of Htntti-T »r ieut inli-n>itj'. wliinh nrx nttiiw i^nrril l>y nii n|i|ir(i- 
|iilnlR irr'tiiiriil vr piUM Inin b I'htoiiii^ hi^iU-, ittlviiilril •iini-cliiint witli ttKnitulary 
atlii»iiii>. " liliili iir» I'll llw i'uiiJi<'<itii'iicij ">!' iii>)tli'''i''il imr-tiiial ItxiDbluB. 

In onlprto l»vp an iiln* of the >tiiiii:i|c<» riiii'ixl liy I'liti^ritiH itiii'iiii: tL« i^lillilri'it of 
Ititviau illoiiiil^f iiFi'oKjiry til dirtci onv iiii>mi.'iii'K aUciilioii Ui tliv ilcmoj-nitiliio 
t'hartoKi *cfuiiiit<>iiiilj' li);iiivil uut l>y Urn, lii'liiriiitnl Lii);ii'iriliit tiiici^ ISIKI. Tliiis, 
tliB tiinrtalit> fmiii eiilvrllin ia tbiit fcur (lHH)j iucliiilcd 417 i-liildreti iiiidri 2yciini 
otikgf, wiHlvAk'nl In S.TI ppT iviit of Ihi^ totiU nf dc>it1iH(T,:tt)8) Ju the riitirr |iopiila- 
tiou. In IWl, out of H total of 7,030 lUatlia, l,5Mi wen* rliiMrcii iiiidtir 2 jnarK of 
BffO. ;■<•(! of Uirmi <3i>.3T(Hir colil} linTlnjt dlnd of dlnrTliu-n. In iHHH a Intnl of [l.iKiS 
fcJta Um « nrv Ti'ifUlrrnl. l,G^i nf wlii<-h licloniccd to ■>»[)¥ clilldraii, XKi (:Jt(.W )K'rr«iil) 
lif! l>iH<li okibkI •■)!•-<( by dlikiTllUPA, *r> tllBt cArh y«ikr bi>tn'<M<li 4i)n hikI 5S0 II I ll« 
Juiii i>ri> cartii^il oil in llii* dty by arulc< iliiirrlia'a, minivnlpnt to it niuxiuiuni of 

75 ilntlliN jMr 1,000 luli»liilnnt». If l[i« itbuvp Df-iiiiHi bu ■.'uniiiurcd will) IIiohi 
{•Iri^n by IIt, l^mltU GDUceTniiu; lliv cilir of Ni-w York diirin); Iho yrur It^Q^ ■ iiiarknl 
(liflpTvoci- wilt be obnMrt"! a-';>it»l the fluviina uiorhitity, fur in Nvw Yurk tiiv luor- 
UiJity Hun*iis i<h>lcln>[i nndc^r A jvun uf age oiily r<!|>n.'Benlvd U.IHI )iar 1.000 Jnliubi- 
l>uili>, rt-inn wliii'b it luiiiit Iw iiifrrml (bat fur vliildnMi undur 'J yrura of hk* Uie 
■iiiiHalttf would bBT« kivimi a llu'itt* murb Innnr tlinn oiir>. ^iii'h rrtiilti an ninst 
liuruwillpt In H I'tty irliirli liai'^l} rimtiitnii ^Oll.OIXi ilibnlilTanto, nnil vrlirrv lli<> pR>|Hitv 
tl<in uf litrth* to iltuttin pmiruta an Hliimiiriu liatannr iit:imiil Ilia p<i|>iiliilliin. Tli» 
liii|H>Tluul faiitor lliiil wr un I'linildrrinK urll ilvHurvrn, tlioif for^, t<> l>r Iiik^i Intu 
a^wt'iiil ici orilM l<> ti'uinn a* nmrti ■■ inunllilc It* fatal Inlltipiire. 

Tbo olion-vHliimH wlilrli 1 nball t>ti<*ctil euucoriiliic tli« IfitrMtlaal troiiblcit uf cnrljr 
infMi«y Nf«r «xi'lii«)i'i>ly to thv ai.-iitB ptlniniy «iitorD-coliil». No ncromit wil) ba 
tabMi <>f ruUtrlial diantiirM at •iinple illarrhwii, hiioU tv rik|>lilly di<iii|ipvar iin(1«T 
tite flM itfainiple reined k-H, iior vliill I hiirliidi* in mj' aInlUlivs all llie cavn* ulitu-rci-d 
1>}' mo In titr cDiitiiaof my lliirl««ti yunm' priifticu, bnl only tliote Ibiil 1 liaTo attt^odnd 
111 ItOt and IBlKf, all of whir li bavp bivn <HiTfiilly cxflniinrd and aiiiily»'l wilh 
tb« bM nf pTPvioMii rx|wii<-u«T Boii'ti^d In the olHwri'iilian of iufantUo diimaiwa. 
Itnfoin prunwiiiif: any Inrlliar I iniii>t oIiifivi- ttiiit, uot ocoiipyiiin any nfllcial jiott 
111 Ibf pnblid iiiilllaliona wbciv an^k cbiMrrn nrc ndDiitlcd, llii< oiiriu born t Ion of 
pulboli-Klral BUulotny will hr wniiUnu In my oliBT'rviitgoiiii, owiajc to tbn Initiir- 
iniKiiilBliln dlfllinlllnn In Ibi- way of ubinltiliiK ■iitopkin' In piivatc prai'tlr*'. Tills 
puprt niuKi tliDOiforo W nBdi'r*toiMt |i> bo writton obly fruiu ■■> vllo1oK<va1, I'lluLnal, 
•ilJ tlirraimtillr |«>lTit of rivw. 

My turn fniui a total of lAu nbiltlnm ai(«iid«d wlili acittu prluinr)' entcrltle 
dadiifi (lir |>i>rioil of Hivt drnlltlori. Tbcy arv diHtrDnitpd ut (ollout: Koiia, li3{ 
Ifirlo, (12; total, Hnti. ltii>M|;lit up eiiliiwly or parliully on tliv bu(tli>, lit; bniu|;bt 
.ufrnUtriy on motlin'aNiilk, 41; tolBl, \i6. Twvnty-llve nf Ilic finniLT <31.m per 
ccuo bimI U wf Umi lalliTr {l.Xl per crtit) di<'d. Tolnl of dratlm, SK, e<|Hivat«iit i<> 
I IK.OApfr r^il. 'rill- Mnn ««>n, olmuiOcd iK«otdiii|{ tn tlw »£« ul nblcli tile ditcaio 
wiM I'uiilrxvlxlrfliv tbe Ailloniii)[ uiilur; 



13U 



PAK-AUERICAN Mb:UlCAl4 coxurehs. 



AJ». 



t Bsmth 

Imoiilhfi..-' 

* IlluDtll*.... 

lODHjniio. ■■> 
11 PlnJirl^-,.. 

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* Alm«M *U the «)*<• bm lni:luil«t In * niucla gnrnp Meurrrf bvtwrni U>« Inlflb (ml Alt* 
MMiihk. 



nth 



111* IG5 CMM distrikuU'il iicGi>riliaE tu ibe moutlw in wLicb thof ooourrAd Appuu 
in Ui« following «nlM: 



Jiiaairy- .,.. 

PKbriinnp 

Maiob.' 

fiK^':::::::::::; 

JOM 

Jnir 



A"f«*- II 

Saptwaba ( 

(ktalnr » 

XoTtmlMr I) 

Vanratar |« 



Total ......u IM 

ClaMlIiei] nc«or>Iiai! tu tlie form of (lie ili«e«ae, tbny ooii«iat«d af-~ 



Typia: 

t'liAlKta iBftEDtnni . 

Acni*ta]Un>-f<>IIU*..>i 
Total 

FUniM artl»pDMr«4«lltlai 

Coinm«a 

Thmfle 

Cnr*bnil - 

Tvplj'jM „ 

Canl>nle 

TcUl 



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ux 





Rtialogs and ndlnre ^ (ke rflaroM.— Thi- followini; oaiKca tat rockonMl omonir IboM 
tJiat iiioKt coiiiDion1ybrinK*l>°nt Ibe Acuta iiifiiiililr eDt«ritii iu flavanit: <l) Rijnw- 
nrw Ut colli; <:{) jiromatiite WFaninc; (3) in<ti>nriDiiDnt<i iud of e»w'a luilk hi (li<i 
TmsIIiis of tufanM; (4) the nue of Iboil not adiiptnl to Ihe cliililV nptc; (li) thi" nffp^t 
of hl)(h t«mi>nrBtiirM during th« ■iimmr.r montbi, which b slan mir rainy apmum ; 
(H) vnrioiia litnactitMl* lnOit(<noM nhlrh bnMtnallj prvvall In UiU lurallty. Tbrao 
varic'ua «tiolog1«al coadtllona gaD«rall.v ooinkiii* In many wa;« t« pTodn4« th« IdUh- 
tinnl tr«abl«a. Moal of tli«m, lioir«v(<r, only ilMcrvn to b* mhmIcImmI *• ovcaaioiul 
raotan, niodMti iiivMtlicntiub* liaving conclusively demon «tral«il tlie important tA1« 
that In-luoga to lnf<Ktinn a* tli« priiuoriliBl pittliogenic agent Id thme ilisnaaea. 

(t) Cbildien ar« qnite hs Itable to ratcli cold amnng <>■ iia they are in cold climatr*. 
Tlie special coiiRlractioii of oar liAiiaM, tli« cocalnat brcrte whicli prevaila diiriiiji 
the bot aeiuon. tho oommnn habit of oponins doon and wfiidowa to mitlptte thn 
opptpssire heat, Ibe ladilcn fall of tompprntiirc aflec li««Ty ahaven, am fraqoMit 
oocoaioua Of catcbing cold for tbe cliililTcn of thU couatTf, faoerally racj ligbUj 



I 




PAN-AMBKICAN MEDICAL COKGKESS. 

■lr«a(>Ml, e*iM>-in)l]: w1i«a •uddenli' eKjiDiieil Ut ilnifta Aftra avkltiD); rtom tbeir sl«ep, 
or •fhrr tHkhis Ifaelr milk, which rrpi|iii'iiily invTokea perspiration. 

(2) I'rvmitiiii' wtvHlnj; inmt jiUu hv coiiiiili'Toil a* i>u« of tbi; picil)>|io>iQf{ OMiuM 
of wilorlll*. Tbn IumI ciniillUoiia of iiiiinf at our wet iiiit*p*, llirlr Ic'innviioa or Inw 
■ai'Inl icrailii, clr., Itiducg tnniiy ii>n(li<>n l» iienn IIh-It cLllilri-ii pmii»lur«l]r, tlicrtbjr 
vi|hm1u|| Ibem to llic iliiiif;i^r« iif tli" rollowin^ oliitl'>);kal u),'«4i«tm: 

(3) Tba «xpeadltiir« or cow*a luilk to Ibo piililic ia curried uq under lh« laott 
■liiplotnble nuudilioiu Cor the leviling itt infanlB. TIip irilo* of >auilAiy police an 
iiliprljr dUregRTiled. ' Tbc tiawa, iiKwlIj-NttmtiatecI or iliimiutpil, ioaiilUdnnllf InA, or 
Biippltrd wltb • lull qiialilf of pMtarnse. nro led tht«iij(h ttia alr«<<ti of IlaTaDa, 
ft<r<|i*nnll7 lylnK ■ttti'". "^ tlinl thrir inlilrni oauio lii Roalnct with it loll InfaolM to 
tli*blgfa(«l4«f!i«« wl1hor]|;nni(wl«tiiiii»of allhlnd*. Th« C(>nH'|ii«ii<'« is tUat erea 
wl)rn milked befuin Ibe rery i-yv at the •luiiHiimvr tUe milk U liable tu li« eunlum- 
Inalnl witb pnlhuf-pLiic );«raiB, iinttitij; uniilv iliu rradiiiMa of th« intlkinitii tu ndnl- 
t«rnln tin- urtitlp by tbo ntlditluti of Uigv <iu until ics of nalcr, iti obicli l)r. Daviiliia 
baa tiHt«iioli>giGttJl} ilo-nioiutniti-d tlic ptpsunruof viiti«ii»iiiirtoljcii,iiml in parilciilnr 
nt tU« bwtlliiacali conimniiu, M well koawn for ita |iallio^«iiic pro)icrtiiii. Auto 
■bo milk whirk ia aolil iu ri>ir>-H*)i»iiaM, milk dopola vtc, it id often brought froui 
co«4idenible dtstaucHi, mid ruu»iM|iii<ull)' ilHivvred iincij' Iioiira afl(>r it biu boon 
inilktil. U ia conveyed in tin I'ani hu conatiuvto't tliat tbpjr iraii nut bs tborougblj- 
viuiiiMcd, bvinit gtPUtly aUnkitu berure r>>ncbin;< ila ilealinntiou, und, luoreocnr, adiil- 
tvruloil, to aay Itii; Uuil, with inipar« nntvr, anrb aa iinlil tin- praauat yoar bio bnoii 
ittunk Id IhU rlly. All thu aboTn rtrrjiTiiititncaa eombiiiD to ptodncn tlM> fennecta- 
tloiia *o Willi ilndliMl aiuoHit n» by Dr. I)<'IA», aiitliur of RoviTral imiiorlaut pappra on 
Itiitl anlOarl. In our of llieni* out cullu.iKnu liiut rnllml nttontloii U> (Ii* fmiuvnoy 
«tiil lUatli ratv of <liol«r» Infatilmn ami to thv fcniinilnlluna duvoliiped in iUh milk 
DMilar tli« liilliiciKT of oar liigb »uuinii>r Ivniponittiii'a. If In ndiUtiuu to all Ibeao 
elmiinalanrM ws tal(«lnti>srciiiitit llii>i'an>le«vii<n« with trblrb arttUciat liwtutiuii ia 
nvriod on in Iba honaebobbt uf tl:ivHiia, Ibe inipurliiui'U of thiit fui^tvr ia the dcvel- 
a|i*ii«lit of tufanlilo diarrliira will be rt^ilily undcraluod. 

Ilnnr iif iar(«llea|{uoibavecoin«Ioirli<iiliraieaii<:taiiiona. Dm. MadAnnait Uninlii 

Jo,f tu parili'iilBr, bftv« caivfiilly aliidliHl tlm ctioIoK''^''' lodnoQc* Ju>t paliit«<l mic. 

ftin txut tMiinioity Uini I ran iid<1i)<-a I" pruvo tba dnoiton of Inctotlon oarri«d 

nlrr aurb iinfavoTabl* fondllliinH in tbn fact 1b«t In tti* roiir«o iif uiy thirt«ni 

pra<Hlr« I hava only met witb ■ ooiiipnntUelj' amall uiiiiibur of unaiia of 

(illR ammig nbildtvn oKclnaively fiM from motbcr's milk, iind aupli uuaea »a did 

ur have tUTurdwl a man Ikvorabk' tcruiiontiua (• iiiort«]ity bu(w«cii i and 7 par 

II). 

X*) Tba iia* of ImpropRr IimmI, of llidlxi*llbl« aabat«n«««, of NWOntliicul« iiiMl* 

milk, cJiP«Mi, iM' iirnaNi, fnill, iitid utlirr drllcunini too nurly XT"»t«<l tu obil- 

a, liMTfl lirmi In tiiaiijr of llic Bwr* obtmoil by am tlic uci'iwlotiiid <»nvf nitber 

Jaovata aBt«<rltlMorof lli« ellnli'ul Ryiidroii^'- hnown m "obolora infantum." 

1^5) TIm liijiiriiHiH iiilliiMice of beat it vrr.v miiarkalila In Havana, and tiiia Iudk 

■■ut bi>»n juiiiiliiil ont. Kvuti in Ibf irai>t«c m>iisuu froni Uuvunibiir to Mitivb, wbeu 

iri' nin|[«fl Iwl iTfuii til" anil iSK-, tlierr am ilajra wbi'a tb« tliur- 

. H Kf-' or Ml ', itiid Ibn xntTrltiii U af^ttiD ubservrd. Iu Riid> 

jiiu't iIhi t>'iii|<*-iiil<ir'i lUra oa tiljib iia W-, litl', a»d 97^, tlxi namber of intn>tiniil 

nnlora liiofnatiift with Ibr lUtrtiHll.v <if tlu> li«at, aa abowu Id tlio tabiM of e«iu- 

Iva iMartalll)r Ibr tif parloil WS-IHH, glvMi fiirtbM on. 



t Lh** — la llaloM irriwiT Coatntn Mwllm llocluiikll, |>. Ut, lUtunm. I«M. 

ROa Ai>'i"i'^« ' iJHi'^ik <.>'»<i vl riu'iit-niniinnlv Iior la IkjIia eu Ion rt^ilc^ unficluii j 
AibnB 4* U )■ lal. ;-•» »••>!.- K-di-niL |> lit Italuiii IRM). Mailan, Con- 

iHlWMl— ■ aflita lp ■ .Inlt |iii«iiiar lufuiuU (Cnuj. UaiL IJuuun|.j Tamo 1 Ik p> 

a»t M ii>i>ii». i>->, 

u. Kx.30 — m 




1346 



PAK-AMEUICAN MKlilCAL COIJURU88. 



The 155 oiutM nol«it down la kit «*■' *am bonk r<ir lliti twn yntu* of IWI Bn«l ISfi 
prcM'iit the rultowiux iuuti(bl> dMrribiitiun: 

w 



JkniiBrr _,.,..., IS 

KriHMarj .,,. „ „,,. IK 

U«m1i , lit 

Apnl „, U 

M«y i.. U 

Jiilin ■ 91 



Jnlj 

XllflUt . .. 

J9»pMnibar 
ihloUr... 
Xonmbct- 



I 
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The liffftiMt iiinlliltllty oorrMpnniln tn Ili» miiiilli* of .liinn, July, and Aujinat, and 
it U patiinilarly tci ln< ikjIIikhI Ihat In thn iimntilis ot Miircli ttiid N'oTeiutiei, wliirk 
HR fr«qii«iitly wBiiD, • corroapoiKllnii liicroMH iirciira in tliu tiumher of uaaca, a furl 
nlM> olinorTccI iu tli« )i;KnFrikt il»nio);ni|>liic HliilisMus fur tliu yciirx muolioiHid alioT*. 
Iiinmniich lu Uii> ■■imiURr limt by itncll ciui not be rciinriloil lu i-n|>ahln >if prodiH^iiiK 
llie iliiirrlid'O, I alinll rorwlilor in tli« noxt pai-Agnipli w)inl •i>cni« • plaiultilv itxpln. 
nnlimi uf tli« aiiiin lit link ofTrivil l>;r tlii> rurvd of niorbUllty nnil morlulil) . 

(It) Tlirei- tnrri'tl..ii» iliwmjt, wliii-li prrviill «ni1i>ml>-;\U} or cpl'IrmicaU)' in 
Ilavciiin. ili-<i«n'ii to bn fiiirlimliitly riiixiilt^ii-d, nwinj^to tliclr )>riniary Incjitiimtioiu 
111 til IT IntuitinAl trout. Tbuy iti« [\)itiuiil IVvor. piilmlUui. un-1 cripiw. There U 
l>«*l(li'ii, a namcriHiii Kr»>ip of fpvon. not jet Ktiolo){ir(ill> cliunlicd, wbicli uuy for 
llii> pti'ifoi lin inrlixleil, *<> furiiH ihcir ciinicnl foniiiri-H itre i^onostncd, among ilie 
(yplioM foviint. 'nii>y unniillliilx tii\i-iNlV-i'iioiiii «rij{iii[ilnd in tlio intestinal tnrt, 
hrnrin); udMil ('•■umililnni'e to 111? inoompliAtn IVimw or typliolil l'»vcr. tlmtf ilnriitiuti 
bitint: niuruor l^w ptolmisdil nixl llknly to 1»* nintlillnil liy l\>v u|>iiriii>rl:>t« ftnplojr- 
iiiput of pn>;{ntivcH anil lultiiliiul nntiveiilii^s in tlirii trcatinirut. Tlii' uliiituxlol 
Diiiidltloiio Ilinl pFHtdc ornc Uie d«veIo|>[|ictit of ull t1ic«e fevrn iirv lu lw> aonglil 
partly In tlin (>niii)'iiiiitiun of tlio miil. in tlio quality iif our vriiU-r 4<ip|ily, nodi ns 
il liM> iKwn niilll Inxl ,vviir, iiiiO nlno In tlio wfll-knaiB-n disrnitiud uf i>r4<ryc)iiug 
Hppi^rl Hilling to piilillc tiyRlviic. Tbn cnllontion of sarliitico la T<'ry (|pliel*4i(: lbs 
ulrrela nri> ImiUy |k>v«iI, nii<1 In nii>iu ward* not iitniMtily nwopl, whumby iuFcr. 
Uiiiin fori »r pvi'ry kind iiro r'Timtl nil ov«r tli« rily during Ibu rainy Minioii. 
The ■f'wnriiun t* n* 1>»'I :>h mn Ui^; it i* not carrli-il onton a geu«nil ajMcin, but only 
ontivUtA (if fury pmir dniino, ilvrK'imt in niiv, di^rtivity, and wotknniiBtiip. aiHl 
•riircAly cnlnilut«'l lo piuTunl llii- fillmlioa or iiri^ninnUtion of corrnpt inattii In 
i)i(> Miil 'if 111" oity. In nddlllon lo tlii* a iiio*t iltifRrtlve ajvlvni of cnupciul* l> 
uwd in I'or liuuar*, anil tlii^ tiinni-'lpnl oriliuanrca mo oDnii InfrlaKOil, llti' privicn 
lH'i"j(»iirTvptiil'iii»ly i'iin[i(icl«-<l with tlir Minora wliirli run AlmiKonrotn-i'lx. I'rniu 
lliia il will )i» r«ii-tily iimlurtloiHl tliat llii> mnildy »iiil uf Hiivatia, lying «« it dora 
npon un ijii|i"tiiiriililr' (»il>«oli, inntil b? ciiinplf t»ly Mitnnili-d witli infrrlinti. Armrd. 
hiR lo lhi> culciiliili'ma of utii I'l^ciiifrra. Mmiira. (iuuiiilci mid AinicA, «vrr.v >r«r 
'i1i,3Xi,iiOi>ltit<iKraia*nr f'/'al iniiltt-iii find ihstr way info ;li« *oll araniwl Ihr rviw- 
poula iind ■'wm. It i* uo trondM, tbcniroro, tJiitt in n dent* tlty )lk« sun, wltoro 
all lliH «lii>lii;!li-iil nlriaiinta favorahlo to oiKniin- dei'iitiipiMlUon nri> prrtMrnl, kuat aihI 
luol*l>ir' In piirlli'itlai, t\iv nit alioiild lie KiPiilly conlamlnatnl wllli tiiijuiHIifw, luid 
chntgiMl wilb drl(-l4>rl»iiN aHlnviu mid »ii-:robn* wliirb l-('in);<triHi«itrd uu th'- nnlU nC 
tJia pkirynx. btc aftcrwutdH HfliilLivrd with the fuoil und dritik, tli«ielt,\ pr>ii1iirlng 
Many klnil* iif infevlii-ii iu tho inlrslitial <jniil. All I but Ur. Ijxn it r'tniili li** writ- 
tan lu liin Ixiok on Diwautra of Infiiiicy rrjL-anliug llw rniMw of •'nivtilio u verllint 
In II 11 ana npiiti ati cnlargxl arnlc, nud if Ikn rr'onll* bavn nut lii-*n wutan II U 
Miidiintitnlly dii4> to tlic in6iieii» of llxt wind* wliirb conaninlly purify our nui 
pltelr. iinil lii lh<> cdpinnn tninn Ibat wauli inlt oar iiii)irrr<H't Hflwrl*. 

Tliv utiol>>);iral ri'Urliiiiin* alr^Mly di*-'iirili«d »iri>vt nil the itibiibliimlA of tht- rtir, 
but IU will bo ri'iidily iindprfltood, their indiMnrc in muTv di>in(ilr»ila n|ifln infiiiibi, 
pr^nrlpally iitmn tlinac that iipp Imdly hnlttnl ami imprnpi'rly foil, In innto ndvnnrr4, 
obildtioad. In yoiitba, and oreu iu ndtilla, the iufL-uUou 1* ii|>t to aMUmu anwl 



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UEDICA1. C<>NURK1<A 



filiiiii!>l chancier, m llial th« pteviikuoo of inC*atil« unterilla oflun ooincidea with 

.tlin lolmiititil fcviira slKUily ii|iuki-n of, Kud nilb omm of rugnlnr i>|iUoi<l, »I1 of 

M hlrb t>iilli<*l(>sl''n1 ninililloun nMniii a c-oimnoii HHirni i>r rlnrrloixiiciit, in iLn 

tniilllt>l'i fariiir* alm»<ly iii>>tilin[)<'il. tti noiijiuit of Itii* luonrlioii I uochI oiity I'lill 

■ iiaailiiu 1(1 itiH mlnti'iii Uilwritu ihn nuiiitlily tiuTiiihty from nnlrTii-riilUlD of 

Llnfani-.v anil lliat trttat t>'|>Uo1il frvi'r <liiilii|c tliv vi)iii« tVK8-lt>^-'. The •)(*'■'«'■>■'*■ I 

I ti«rwvpii tli« Iwu riirt'iv wiMihl Ih' iitlll j^r<.'iiU-r if nil nar pbirftkliuui Hilujit^'l »<> 

M'-iiliral rHli'ri'iii. .VoluIttiHCaniKDi; lli« <l ■••iivt>M'i''i<"* Tcgniilliii: tli(> HaxxilU^itlinii 

. of ■li'oiuiu'i, tli« |Hiralli>l<uii W'twprii llio iioKaliljr eiioua oflliuac irifv>'lLitri* in sitlll- 

' rinillf aiipiirfDl, liiit it U uv4<ii iiiok ho fitini > nlinioMi puiut of view wliun wo <»■»• 

' ^iilur Uu) ilixlrilidtloit of tioUi itiwuKS iawardn, |iiMuMiltUK almilar li]r)[i«nio coodU 

li<>a* (l'i|!«. I, d. 3, 4, li. rt bk>.> 

li «UI Imrcudllj' uPon Unit In tlio j'onn In wlilali tfpluild f«v*TprorallO(l(li«Da«ns 

[ ofeoUiw-'Dhtis yrtta uturr fii-ijuvnt itml ninr* savnrc fiii- niiMilli of Jaas bM uourly 

nlwA>> |imii-nl«il tlis lii^bitt inuTlulily; Ilia latMf v.irirB iu (lilTcteDt je»n diiriiig 

lliv ■■■••iitliH (if July, Aiii;<itl, aii'l $p|itU(iiI>eT, ilorreii-iiit); riiDBi'teiitbl.v fa tUia loat 

iiHiBlli. Tutlio Bimillimif >li>ri'li iiiid Nuvvaitivr tortu?|hii>ili sumctiiiiM nn iDvmuo jn 

I Ibi-IKiinKxrorrjuwfloiii'I'Wtliii, wliicliniiiy l)uuUributeilluiii>viiralcoii(liliima<>iiliiir«f 

a icriinral Mf local r1iaraolf>r, amotis wlilrli iiiuj lio ni^nti«ii»>l. lio«iit<-atli« iitiiiiMfilKirto 

, leinjiufaliiiy, Ihu |iii>liiiii;pit ilr.vcirH* nf ili« tltNt iimntlia of l)ui .vr; tlii> r-'toiil.]!)!! iif 

I liff-al iiiatt'-T ill Ibi' wwi-rt; tlll^ "li'Tiirliv* roiiittriU'liiin iif soiiin iliiiolliiiji*; jicib^pv 

alait llio XP'iili'r vJritl(<iKe :Ki|riii<><l lij- iliu iiiilb»t{i>niu j^nris iu ituiii-- ■liitrii.'ts, auU 

ll>i> |>r>>iinKnli<ia of luorbilio fiiui lUr»<>itli wliicli u wvivnl ofllif itiferliun In «ffpi'(»-il, 

l^t ■■• IMW (iii»|iiic<- Ihi^Mt Iwii Hi!ric«»f trnciiifpi. tli« (Irat (wrt«a|ii»i(liDK to cntrn)- 

J rulilUftfw rraiurlkolr'tiform ■>> lujitoina, tbc imxiiiiI to fewniaiirli oi bav« alinxly lioon 

■•|u>kvii 111' In ulilor aiiUJrartB. A ^I<l»Hl kiililu ciiuilmity will do (iIiikittoiI Iq t1i« twm- 

b|M>ntl«ta ctirrM i>r liotli •wtIm, an niiirli an tlint wlinii otliir i-luranUira coiiiiiion to 

I b<>lli niorli^it r(in<lilli>u»nic'c<>iiiilit('tril witli rrApii^t to llioir «,vinptoiniituI'i^y, coiir»«, 

>il projjiKnin oiie ia inrlliivil to livliova tliat llwy buluni; to llie Hauie cIiiim of illa- 

B.fl,7.Mi, 10. n,)'J. i:t). 

erioluifiral liiveBti|;nlioiit lu whiuh Ui« fnical i[iutt«[« proonediiig from my 
t%U iiallnni* tinve but-o *alitiiilt«>,1 vitrv Hcooriipli^ilicil by my karnril friend, Hr. 
I Uivat'Hi. nl Ifac l^)ii>ruti-iln ili> U <;(itnii'ii >I^i"> <{'iirtiripca. Ilia cxhnnatlTn work 
N-unliriiiaiui'v iii'iii* tlif> rrtiittoolitiiliml !» ainillnirt>ii>* liyotliN bartorlnlOKUta lit ilif- 
nl roiiiiiTint — kiiob iia KuiiiiviH I loll, Ksf lirio'li, lliiijiiixliy. I.««i>]t', :iim1 Mai)al|^ip. 
[Ml my enMi* |ir. IMvaloa hj.t fumid Imoioria iif 'liHrri'iit it|>iii-l4i* ; tli« liabitiia) 
pUytoa (if Ihn liit>'«(innl rniinl, lli« liiirpillita mililtlli', thn B. I>miii'>, Hla|>birl<h 
|>)>igri>ii* aiiiPDD, )<nt |trlii<'l|>Hll,v' llin Ii:ti'il1n« m\\ roiiiitiiiH, wblcb. Ibivii)[b 
lll> auliible iMiKltK'l*, ■hili'rintiKt ibc Mvoliilniy |>Iipiiiiijii>iiu of bixi-iiifcflioD i>bcn 
llliay arn Mot traiMfumiail In ilii> liver and favtirnlily ellniiiialiHt tliiodgti th« r«ii«l 
Tmwr. (Oilbni,) 

]to>lil«K Ibra* iiiffletiuna raiMci, wlik-b am Itia iMimt pr«vat«nt and hav* boKD iiiun 
I (MUllciilariy aladlinl.palFtiUain nii'l iirll>|<e iiln ■nnU'leiitJy i''>niinon In tlnvim.i to pM- 
I vukv III aMiall iihl1ilii-u MMiw of aunt'' pritiMfy vtilorllla, wltll ayiviploiii* tlmt <!mi iiiit 
< ulwaya Im> iIMvipoIIjIi'iI froiii Uiwo uf tile ollirr ■|>i-i>Im pfpTiiiiiHly laontlotivil. In 
aiii'li riiaoa iiii ritiili>|{tL'iil >Uiij^iwi*l« i-Jin iiiil.v Un abt.iiii«<>l by in<iiiiring iliutply liito 
rrrry parlii'iilnr anil nlliiijc lo oiiralit all tli« tP«'mr<H>ii)f jEvuoraiitiiiU-liiiiruIobHt- 
valion. It la, lliaii. iioroasarir t<i Dliuly llir incdiil iiml utlwr voiiililioiiK MitronDillii){ 
I Ibi. *1iik. Thii tiialHrlal Hiitirilln iidirciillv ruiui'lile* wStli tlio appenmiicc of ooireetty 
* tl(a^lHiM'il iiial4illal fiivriH. Ic i> IkiiikI lo •Kxilpy tlie iiituw< fori, uml may l>« illlfer' 
, rtitlalml Itjr a Iboiviip;!! cllKlo^jli'nl titi|<iiry, \iy n priipor ii.'iiitniniilioR uf tlie blmvl, by 
llui fifiianli! li'tiKiia wliidi iniibiiii liiivrn tHtbiiiil, by ila li-oil»i-iiy lo tuiipjirar iiiiikr 
n«i* <ir (itbar uf Ita foniix, or by tlir renilliinw wIlU wbiuh It* vnrioiia mHnlfpalnlinna 
■itlialilD niiairr IUh iiw »f •(Ulniiie. Ib ili,iiil>tr>il i-iiai-a it l> DitciiMiit} lo Ixi very cull- 




1348 



FAN-AMER[CAN MEIUCAL CUNOIIESS. 



liolM in t)i« eliotoj-ical ilisgii«>ia aiid iu Ibe MiiplifynKiil lit mwlii'liiM rnimilf^ 
lliFivxii. for i-non, ouu vijij or Uib utli«r, m»y Imvo tatni ouna»4iiMioM far tbo >itt]« 

)IUtlUllI. 

'Ilip ^nti|ii.- l■^ll^ritis coiiiL-iU'w wJUi tlic vri<li*uiip (■rippe and tvt-iira uiUi llii> lulter , 
la uorlnin kkukiis «[ (bf ycur. It ih ■■oiivrully obivrvMl in fuiniliiw vtb<*ii> itllirr uf] 
tW iiMnf oliiiji'ul titna» i>f ifrlppn ntn ■iiiiiillaiicuuil^' develu|ii'iL ix iii tuilUDi't-n ufl 
mlbiNiqaiTDt prtijia^.idoii 1 mi'li rwriilliiit noiiiv ipueiiil vumui. iU bou iialiiio i^iiii T 
iiliii<i#t iilna}'* til.- roriiH'tly u*liiMlil>«-t. 

Cliwi'-Ml fun«(itri'iiiiii">.— Ail iiiy c-uvn ciu iiv Kroiijioil tiiitlvr tli0 tww livailtugs: 



Otrnt. HaaUUtjr. 



Cliotcn Inttnliun... 
AauM •BtrnivullUa 

I^Ul 



n 



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I nliull only dUonn lh« Mooiiil ^iHtli, wlileh, iKVlito* bolii|; Miofw lViM|iianl, olfen 
I^Teiitpr ciiuii'iil vurivtie*, aitil In tiioiv iijivu tv iloiibl wbam «llcili>-,v, iliiisniwifi. prog- 
Ti'iiiiB, ami IrcBliiiciil mo ■wuopruu'd. Cliulers liifiintiim, on tho i>lli(>i liaud, U uiuro 
iviiiilsr iu ita luiiiiifctiluliuno uuil Ibi l[uHtin«ut, Ihuui^ oIMii uuhuvci-^u), U Ibm 
Hiibjiv.t Iu ilUf iiiuiuu. 

Tbn tiioiQ fto'iueut furoin uf tiir»u(ili! mtei-uculilU ubnerii-il iu HnvHiiit am th« 
emiiiixiii fnrm iliurrilicd by Butboni, tlie lliurjii'ii' iiiid Ihe i-rrclitul ; llirciiiitrir, ri'dill- 
■oiit, d]r«unt(iric, typlioUl, nod oliolantii) Tiirnu boiUK ulio oocMKiDiilly nirl witb. 
Tbwiiinniiin furiu of tlio itiscuM) i» |;r-neinlly [ireccdnl hy intantliiit dialtitbiuicra, 
(u wliicb lllU* liii]iurl«iir* U K'Ti.'!!. Mnic rarely It litvnko one MuiMniilr, In wbi(>b 
ouw tlii^ Tever, wbicli, n» a nilt^foiiuA mil ■* iiljcbl,K*'"*''"Hy I'tmioilm tliti iliitrrb<i>«, 
nnd tb« courM «f Uiv inoliid praoiwi h iial »ik inuuh lliat at an onleriti* aa of na 
irifrction oriKiiiitiiig in tin- iiilmtiui.*. Wbiituvitr tlio bMgiiiniiig inny Itave Imwu, 
tUn Kiut* iiiDy be cluuiliuil iu tbr«e grunpti: Uglit, ttiiiiWutv, aoil wvere. In iho 
llm iciuup Ibo ubdi'iuiiiul syio|>Ti>mB arc inudpnlo and Ibu guneral pbnooiiipna 
viirinbli!, but of niitil iiitcunily. I ■linll not inaiot on Ibn number ur vbamrlor* of 
lh>i ovarii at I nil*, my piiiivi|»l uliJuvC liuiog tajirfwiil a brinf milliue uf tbn morliid 
)i[iii-i>Ht all II whute. Tbp t^mpGratiin- tnngOa bolwci-u ttl.C^ ami lOI.A-^ K., «r littl« 
uii>ii>, diidiiu lliii r<ibiilr ■[lilt*', wbii'li Ui<t> from two to llv'i: day*. Tbu Inivntinm are 
iHiiDL>vb»t iiiwc tiinly in rr^ivdHtiit iWir imnual riinrtloiin. KotapMM iir« fn^>(iiiiit. 
(Kee (he iidj.>liiln|> rbarlx, I'ljtk. II, il>, 111, IT, IK, 111.) 

Ill Ibc ■M'ODdf'tiiiip ll>i<F>)iti)ituiiM arr luoir iiwrkird, liiit iiot nil iu tbc ■awo dflKroK. 
8onM pf lli« guueral I'bciiuwriiLi.'U'iiuiie j^v:iii>r liitrnsity. KBtlhuaiwaa, «Kcitoiueiil, 
iaauiuiiia, aii-l nioaiiing am otwri itil. Tliv lungii*< iBcuiiled; Ibitra U aiuimxiu, iliirat, 
liiiiuoa, iitid Kiiuctiuiua vihuIIIii);. Tbp abdumeu t* more ur Imk aenaitive to tbu loucb 
In tli« rvs'oo "f *^^ aiitall inl«4tlnm ur iu tliiit uf tli« luuendiuK and ttntiiiviirM> ouIob, 
Tbs e]iatacl«r of tbc eva«iutioii3 vsrim Minsidurably. The fever la of a aubooa- 
tiiiiioua tyjN) doiiiiK tbe fini daya, uf(vru'iird* be«oiuinj rrmillont, aud tbnli icrsiln- 
ully decrnokliiii ■■ tbn Icical plisnonmiia anbaido. In otbdt raiuu. It la icintll'tit trom 
tbe beeiuitiiif;, and firnii liilcriulUriit, (rnsi whicb It ni'iitt nut liv infrTrnl Ibat U ia 
Dialariiil, for ull IfauM tyimt liare lM«n ]ioiiilpd luit by ulwnrvMs wbo ptavlii-ed iti 
flllM whcm lualiiita did iiot ptvvail. K«c«iil laresiiitatloii* haw, ninr«oi*<r, bnnight 
to ligbt the pyrvtoganiMis ptiiptMliM devBluiiMl by iniiT'ibliil tuiiitn tbioiigb tb* 
uurvotia avalcna. Honlly, it is not uurniiiDiun U> ubsBCve a pBrai*lenpp uf thnrniUi 
oH-IIUtloaa after tba evocuatioui bavp luvovcred tlieir noiuial appoaranve, tliriobr 
■bn«iii|[ thv InriK-IJimii rbaravtvr of Ibv diiBuau. (.'uluiiiel and ni)ti«c|illoa rapidly 
«oiltriil tbit Ihrniili- illitarbaocu. If tbia be uol atliiincd, Ibo etlolafloal Mudlttoaa 
tnn*t I" fiirlfii>r it>i iwl ii;at«d nnd the tranltinn indlcatlona opiKirliinsly actoil upoa, 
Tbi dutallun uf lbo*« «i>aM «f uii>d«iala liitcitaity vutto* bntwveu uaa and lw«» 



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